Medicare Physician Payment

Sep 7, 2018
Download the comment letter (PDF) RE: CMS-1693-P, Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability Program On…
Aug 24, 2018
Held Aug. 23, 2018 This webinar provides highlights and sought feedback on the Centers for Medicare & Medicaid Services' proposed rule to update physician fee schedule payments for calendar year 2019. The rule also includes several proposals to implement the quality payment program created by…
Aug 6, 2018
On July 12, the Centers for Medicare & Medicaid Services issued a proposed rule that would update physician fee schedule payments for calendar year 2019. The rule also included several proposals to the quality payment program created by the Medicare Access and CHIP Reauthorization Act. AHA’s Regulatory Advisory offers a detailed summary of the proposed rule.
Jul 12, 2018
The Centers for Medicare & Medicaid Services today proposed to update physician fee schedule rates by 0.25% in calendar year 2019, as required under the Medicare Access and CHIP Reauthorization Act of 2015. After this update and the budget-neutrality adjustment required by law, the proposed…
Jul 12, 2018
Tom Nickels Executive Vice President American Hospital Association July 12, 2018     Today’s proposed policies from CMS will provide opportunities and challenges for hospitals and health systems and the patients and communities they are proud to serve each day. We applaud CMS for…
Apr 24, 2018
The Centers for Medicare & Medicaid Services seeks comments through May 25 on potential models for direct provider contracting (DPC) with physician practices in Medicare, Medicaid and the Children’s Health Insurance Program to reduce spending and administrative burden while enhancing…
Jan 9, 2018
To translate clinicians’ MIPS final performance scores into payment adjustments, CMS will identify several final score thresholds.
A performance threshold. Clinicians who score above the performance threshold will receive positive payment adjustments on a sliding scale, and clinicians who score below the threshold will receive negative payment adjustments on a sliding scale. CMS will publish the performance threshold prior to…
Dec 11, 2017
AHA has created a Medicare operating DSH calculator for hospital leaders to estimate hospitals’ operating DSH payments – both the empirical portion as well as the uncompensated care payment amounts. The calculator is designed so that you enter your hospital's CMS Certification Number; the…
Nov 2, 2017
This final rule continues a flexible approach to the MACRA's physician quality payment program urged by hospitals, health systems, and the more than 500,000 employed and contracted physicians with whom they partner to deliver care.
Press Release Statement on MACRA Physician Quality Payment Program Final Rule for CY 2018 Contact: Colin Milligan, 202-638-5491, cmilligan@aha.org Marie Johnson, 202-626-2351, mjohnson@aha.org Tom Nickels Executive Vice President American Hospital Association November 2, 2017   This…
Nov 2, 2017
In today's rule, CMS finalized a number of policies, including one that will adversely impact patient access to care by reducing Medicare rates for services hospitals provide in new off-campus hospital clinics.
Press Release Statement on Final CY 2018 Physician Fee Schedule Rule Contact: Colin Milligan, 202-638-5491, cmilligan@aha.org Marie Johnson, 202-626-2351, mjohnson@aha.org   Tom Nickels Executive Vice President American Hospital Association November 2, 2017   In today’s rule, CMS…