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News

Healthcare Equality Network sends letter to CMS on claims denials by commercial insurers 

The Healthcare Equality Network July 3 sent a letter to the Centers for Medicare & Medicaid Services, expressing concerns about claims denials by commercial insurance companies.
News

AHA podcast: The Effects of Medicare Advantage on Rural Hospitals With St. Bernards Healthcare

Chris Barber, president and CEO of St. Bernards Healthcare, discusses the problems certain MA plan practices can create for patients and their caregivers, especially for rural hospitals and health systems that face a unique set of challenges in caring for their communities.
News

CMS administrator highlights response to Change Healthcare cyberattack, prior authorization improvements

The Change Healthcare cyberattack was a significant event that caught many off guard, said the Centers for Medicare & Medicaid Services Administrator Chiquita Brooks-LaSure, reiterating the age
Health Plan Accountability Update
Public

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.
News

AHA urges Congress to act on key priorities for hospitals before end of the year

In comments Nov. 12 to majority and minority leaders of the House and Senate, the AHA requested that Congress act on key priorities for hospitals and health systems before the end of 2024.
News

Supreme Court to hear case challenging HHS’ interpretation of DSH formula 

The Supreme Court June 10 agreed to review a case challenging how the Department of Health and Human Services applies Congress’ formula for calculating Disproportionate Share Hospital payments.
News

Representative Guthrie discusses cybersecurity, prior authorizations and telehealth

Rep. Brett Guthrie, R-Ky., addressed attendees of AHA’s 2024 Annual Membership Meeting and touched on many of the biggest issues in health care: cybersecurity; prior authorization and denials of care; extensions for expiring telehealth provisions; and how government and hospitals can work together to find solutions to these and other problems.
News

AHA, others urge Supreme Court to review challenge to HHS interpretation of DSH formula   

The AHA, joined by five other national associations representing hospitals, Feb. 2 urged the U.S. Supreme Court to review a case challenging how the Department of Health and Human Services applies Congress’ formula for calculating Disproportionate Share Hospital payments.
Health Plan Accountability Update
Public

Health Plan Accountability Update: March 2024

Health Plan Accountability Newsletter Update for March 2024.
News

As Many Hospitals Continue to Face Significant Financial Challenges, MedPAC Recommends Highest Ever Medicare Payment Update

The Medicare Payment Advisory Commission (MedPAC) today released its annual March Report advising Congress on the Medicare fee-for-service (FFS) payment systems. In it, the commission recommended its highest ever Medicare payment update for hospitals and health systems, recognizing the dire financial environment they continue to operate in. Specifically, MedPAC recommended that for fiscal year (FY) 2025, Congress update the Medicare base payment rate for hospitals by current law plus 1.5%.