Site-Neutral

Mar 26, 2018
Medicare pays long-term care hospitals less than half the cost of care for site-neutral cases under the LTCH prospective payment system, AHA told the Centers for Medicare & Medicaid Services Friday. “Our analyses show that these substantial underpayments are occurring because, contrary to CMS’s…
Mar 5, 2018
A recent opinion piece in The Hill “gives readers a one-sided, misleading and misinformed view on the issue of site-neutral payment proposals and consolidation in the health field,” writes AHA Executive Vice President Tom Nickels in an op-ed piece published Friday. “To start, the author fails…
Jan 30, 2018
Americans rely heavily on hospitals to provide 24/7 access to care for all types of patients, to serve as a safety net provider for vulnerable populations, and to have the resources needed to respond to disasters. These roles are not explicitly funded; instead they are built into a hospital’s…
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Outpatient PPS

Dec 16, 2017
Outpatient care has become increasingly important, as technological innovations and patient preferences drive changes in care delivery.
Medicare beneficiaries receive a wide range of services in hospital outpatient departments, from injections to complex procedures that require anesthesia. Payment policies for services furnished in hospital outpatient departments are constantly changing due to technological advances and changes in…
Dec 14, 2017
The AHA today urged the Centers for Medicare…
Dec 14, 2017
AHA urges CMS to issue an instruction to the Medicare Administrative Contractors directing them to review hospital applications for the mid-build exception to Section 603 of the Bipartisan Budget Act of 2015.
Dec 11, 2017
AHA Coordinated Care Alliance Call Briefings Calls held on every-other Wednesday at 4 p.m. ET/1 p.m. PT We will be holding bi-weekly conference calls to continue our momentum and discuss our progress in addressing so-called site-neutral payment reforms in Congress and other government agencies…
Dec 11, 2017
The AHA Advocacy Alliance for Coordinated Care focuses on adequate payment for the higher level of care capability that hospitals provide in the outpatient setting and for post-acute care providers. It also monitors payment reduction proposals for other care sites.
The AHA strongly opposes policies to equalize Medicare payment rates for services provided in a hospital outpatient department (HOPD) and those performed in other clinical settings. HOPDs provide access to critical hospital-based services that are not otherwise available in the community and treat…
Dec 1, 2017
Comments to MedPAC commissioners on draft recommendations on improving incentives in the emergency department (ED) payment systems, increasing the equity of payments within each post-acute care (PAC) setting and refining an alternative to the Merit-based Incentive Payment System (MIPS).