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Health Plan Accountability Update: October 2025
The AHA May 29 submitted a letter to the Centers for Medicare & Medicaid Services responding to a request for information regarding Medicare Advantage data, urging CMS to increase oversight of the program.
Chair File: The OBBBA and What’s Next for Health Care
The recently enacted One Big Beautiful Bill Act will bring big changes to health care.
Report: Hospitals and health systems squeezed by persistent economic challenges
The AHA April 30 released a report highlighting how hospitals and health systems continue to experience significant financial headwinds that can challenge their ability to provide care to their patients and communities.
AHA: House bill would repeal 15-year ban on new physician-owned hospitals, ‘destabilize’ health care access
The AHA July 8 wrote in opposition to the “Patient Access to Higher Quality Health Care Act” (H.R. 4002), which would repeal current law banning the creation and limiting the expansion of physician-owned hospitals.
Hospital Outpatient Departments Are Different from Independent Physician Offices
Current Medicare payment rates recognize the fundamental differences between patient care delivered in hospital outpatient departments compared to other settings. Any expansion of so-called site-neutral payment cuts will result in limiting or eliminating critical hospital-based care, increased wait times for services and reduced access to care for all patients.
AHA study finds HOPDs treat sicker patients than independent physician offices
The AHA Sept. 3 released a study conducted by KNG Health Consulting that found Medicare patients who receive care in a hospital outpatient department are more likely to come from geographically isolated and medically underserved communities and be sicker and more complex to treat than Medicare patients treated in independent physician offices.
Chair File: Leadership Dialogue — Importance of Advocacy and Storytelling in Rural Health with Lori Wightman, R.N., CEO of Bothwell Regional Health Center
In this Leadership Dialogue, I’m joined by Lori Wightman, R.N., CEO of Bothwell Regional Health Center, in Sedalia, Mo. Lori and I discuss working in a “family atmosphere” unique to a rural hospital and navigating the same pressures that face urban hospitals.
CMS proposes increasing payment rates by 2.6% in CY 2025
The Centers for Medicare & Medicaid Services July 10 issued a proposed rule that would increase Medicare hospital outpatient prospective payment system rates by a net 2.6% in calendar year 2025 compared to 2024. This includes a proposed 3.0% market basket update, offset by a 0.4 percentage point cut for productivity.
Washington update panel discusses legislative priorities for rural health care
AHA President and CEO Rick Pollack joined AHA’s Chad Golder, senior vice president and general counsel, Travis Robey, vice president of political affairs, and Shannon Wu, director of payment policy, for a discussion on the ever-shifting landscape of health care affairs on Capitol Hill.
Health Care Plan Accountability Update: March 28, 2024 - July 8, 2024
The AHA May 29 submitted a letter to the Centers for Medicare & Medicaid Services responding to a request for information regarding Medicare Advantage data, urging CMS to increase oversight of the program.