Medicare

Jun 22, 2018
The House Budget Committee yesterday voted 21-13 to approve a fiscal year 2019 budget resolution that would balance the budget within nine years. Released earlier this week, the budget plan would cap non-defense discretionary spending at $597 billion and include reconciliation instructions for…
Jun 22, 2018
AHA and three member hospitals today recommended to a federal district court four non-deadline remedies to reduce the backlog of Medicare billing appeals awaiting adjudication at the Administrative Law Judge level, while maintaining that the agency has failed to show that it cannot clear the…
Jun 22, 2018
June 21, 2018 - RE: Bundled Payments for Care Improvement Advanced
On behalf of our nearly 5,000 member hospitals, health systems and other health care organizations, and our clinician partners – including more than 270,000 affiliated physicians, 2 million nurses and other caregivers – and the 43,000 health care leaders who belong to our professional membership…
Jun 14, 2018
This study, commissioned by the Federation of American Hospitals and the AHA, examines how eleven pieces of legislation combined with numerous regulatory changes would affect hospital funding from 2010 through 2028.
Jun 12, 2018
Rep. Doris Matsui (D-CA) today introduced an AHA-supported bill that would make changes to the 340B drug savings program, including overturning last year’s significant Medicare payment reduction for many hospitals in the program and adding program integrity requirements for drug manufacturers…
Jun 12, 2018
June 12, 2018 Letter to the Senate Finance Committee leadership supporting the Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018. Read the full letter below.
Jun 7, 2018
The Centers for Medicare & Medicaid Services today finalized without changes its “extreme and uncontrollable circumstances” policy for hospitals participating in the Comprehensive Care for Joint Replacement Payment Model. Like the November 2017 interim final rule, the final rule provides…
Jun 5, 2018
The Medicare Hospital Insurance Trust Fund will have sufficient funds to cover its obligations until 2026, three years earlier than projected last year, according to the latest annual report from the Medicare Board of Trustees. The projected 75-year actuarial deficit in the Hospital Insurance Trust…
Jun 4, 2018
Total reimbursement for brand-name prescription drugs in Medicare Part D increased 77% between 2011 and 2015, nearly six times faster than inflation, despite a 17% decrease in the number of prescriptions, according to a report released today by the Department of Health and Human Services’ Office of…
May 30, 2018
The Centers for Medicare & Medicaid Services yesterday issued a notice detailing proposed changes to a claim-review demonstration project for Medicare fee-for-service home health services. CMS proposes implementing the demonstration in Illinois, Ohio, North Carolina, Florida and Texas, with the…