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AHA 340B Advocacy Alliance Bulletin - January 12, 2026
Several health care groups, including the AHA, today told the Centers for Medicare & Medicaid Services it is wrong to tell hospitals and health systems they “are to” complete the agency’s Outpatient Prospective Payment System Drug Acquisition Cost Survey and urged CMS to correct an FAQ issued on the issue.
Advocacy Issue: Site-Neutral Payment Proposals
Hospitals and their associated facilities provide access to critical services that are not otherwise always available in the community and they treat patients with very severe conditions. Payment proposals that attempt to treat hospital outpatient departments the same as independent physician offices and other ambulatory sites of care ignore the very different level of care provided by hospitals and the needs of the patients and communities cared for in that setting.
Skilled Nursing Facility PPS
The Centers for Medicare & Medicaid Services (CMS) July 31 issued its fiscal year (FY) 2026 final rule for the skilled nursing facility (SNF) prospective payment system (PPS).
Aetna Delays, Issues Additional Details on ‘Level of Severity Inpatient Payment’ Policy
The Centers for Medicare & Medicaid Services (CMS) Oct. 31 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2026.
Home Health PPS
The Centers for Medicare & Medicaid Services (CMS) Nov. 28 issued its calendar year (CY) 2026 final rule for the home health (HH) prospective payment system (PPS).
AHA Site-neutral Advocacy Alliance - February 26, 2025
The AHA’s Site-neutral Advocacy Alliance will meet on Thursday, March 6 at 2 p.m. ET. This call will feature updates on the various site-neutral provisions Congress may be considering soon as well as an overview of new advocacy materials available to help with your outreach on this issue.
Home Health Prospective Payment System Final Rule for CY 2026
The Centers for Medicare & Medicaid Services (CMS) Nov. 28 issued its final rule for the calendar year (CY) 2026 home health (HH) prospective payment system (PPS).
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.