The AHA June 1 urged the Centers for Medicare & Medicaid Services to revisit its market basket forecast and work with Congress to reduce the productivity adjustment in the agency’s fiscal year 2027 proposed rule for inpatient rehabilitation facilities. In comments on the rule, the AHA urged CMS to revise its proposed coverage and documentation changes that would impose rigid timing and paperwork requirements for therapies, preadmission screenings and interdisciplinary team meetings. The AHA also expressed concerns about CMS’ request for information on broad IRF PPS payment reforms that were modeled after skilled-nursing facility payment policies. The AHA recommended that CMS preserve clinical flexibility and pursue more targeted, IRF-specific policy refinements. 
 

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The AHA commented June 1 on the Centers for Medicare & Medicaid Services’ skilled nursing facility prospective payment system proposed rule for fiscal year…
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The AHA submitted comments to the Centers for Medicare & Medicaid Services June 1 on the inpatient psychiatric facility prospective payment system proposed…
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The 4th U.S. Circuit Court of AppealsMay 28 agreed to rehear challenges to 340B contract pharmacy laws from West Virginia and Maryland. In April, a three-judge…
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The Wall Street Journal today published a letter to the editor from AHA General Counsel Chad Golder responding to a May 7 editorial criticizing the 340B Drug…
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The Centers for Medicare & Medicaid Services has released its fiscal year 2025 Program for Evaluating Payment Patterns Electronic Reports, or PEPPERs, for…
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The AHA today urged Eli Lilly to abandon its 340B Drug Pricing Program claims-data policy and work with the AHA to develop a functional third-party…