AHA comments on proposed outpatient payment rule for CY 2023

Sep 13, 2022 - 03:08 PM
alliance-for-recovery-payment

Commenting today on the Centers for Medicare & Medicaid Services’ proposed calendar year 2023 payment rule for hospital outpatients and ambulatory surgical centers, AHA said it supports the agency’s decision to end its unlawful cuts to 340B hospitals and urged the agency to promptly restore 340B hospital payments for CYs 2018-2022 without penalizing other hospitals. AHA also voiced support for the agency’s proposal to use Medicare claims data to calculate the monthly facility rate for Rural Emergency Hospitals, and urged the agency to detail the payment methodology and monitor its adequacy going forward. 
 
However, AHA strongly urged the agency to increase the rule’s proposed market basket update and reduce its productivity adjustment to reflect the unprecedented inflationary environment hospitals and health systems are experiencing. It also urged CMS not to add facet joint interventions to its prior authorization process, as other oversight mechanisms are available that do not delay appropriate care. 
 
Among other issues, AHA commented on CMS’s proposal to exempt rural Sole Community Hospitals from the site-neutral clinic visit payment cuts; organ acquisition payments; and a request for information regarding the use of CMS data to drive competition in health care marketplaces.

Related News Articles

Headline
CMS finalizes payment updates and coverage changes for IRFs
The Centers for Medicare & Medicaid Services July 30 released the fiscal year 2027 final rule for inpatient rehabilitation facilities. The rule will…
Headline
CMS finalizes 2.4% payment update for SNFs
The Centers for Medicare & Medicaid Services July 29 issued a final rule for the skilled nursing facility prospective payment system for fiscal year 2027.…
Headline
CMS finalizes a 2.3% payment increase for inpatient psychiatric facilities
The Centers for Medicare & Medicaid Services July 29 issued a final rule for the inpatient psychiatric facility prospective payment system for fiscal…
Headline
Court rules that companies may not impose 340B rebate model without HHS approval
The U.S. District Court for the District of Columbia July 21 upheld a lower court’s decision that Section 340B of the Public Health Service Act does not …
Headline
AHA challenges HRSA’s burden estimate for proposed 340B rebate model
The AHA July 14 urged the Health Resources and Services Administration to revise its estimate of the administrative burden associated with the agency’s…
Headline
AHA urges court to reject AbbVie bid to change 340B program rules
The AHA today filed a friend-of-the-court brief supporting the Department of Health and Human Services’ motion to dismiss AbbVie’s lawsuit …