Site-Neutral
The House Energy and Commerce Subcommittee on Health is expected to hold a follow-up hearing on transparency and competition in health care. The AHA appreciates your outreach in advance of the March 28 hearing; however, based on the comments representatives made during the recent hearing, it is…
Medicare patients who receive care in a hospital outpatient department are more likely to come from medically underserved populations and be sicker and more complex to treat than Medicare patients treated in independent physician offices and ambulatory surgical centers, according to a study by KNG…
A new study released today by the American Hospital Association (AHA) shows that Medicare patients who receive care in a hospital outpatient department (HOPD) are more likely to come from medically underserved populations and be sicker and more complex to treat than Medicare patients treated in…
Medicare beneficiaries may receive ambulatory care services in different settings, including independent physician offices (IPOs), hospital outpatient departments (HOPDs), emergency departments (EDs), and – for surgical services – ambulatory surgical centers (ASCs). Our findings suggest higher…
The AHA strongly opposes site-neutral payment cuts, which would reduce access to critical health care services, especially in rural and other underserved communities.
The Centers for Medicare & Medicaid Services (CMS) yesterday issued its fiscal year (FY) 2023 final rule for the inpatient and long-term care hospital (LTCH) prospective payment systems (PPS).
The Centers for Medicare & Medicaid Services (CMS) July 15 released its calendar year (CY) 2023 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) proposed rule that would increase OPPS rates by a net 2.7% in CY 2023 compared to CY 2022.
As strongly advocated by the AHA, the Centers for Medicare & Medicaid Services (CMS) today announced that it is rescinding prior audit denials for hospitals that had failed to qualify for the “mid-build exception” so that the agency can review the determinations.
In a letter sent to the Centers for Medicare & Medicaid Services, AHA expressed its continued concerns about audit determinations denying hospitals a “mid-build exception” to the site-neutral payment policy and urged the agency to extend by at least 180 days the July 18 and Sept. 16 deadlines…
In a letter to the Centers for Medicare & Medicaid Services, AHA expresses continued concerns about audit determinations denying hospitals a “mid-build exception” to the site-neutral payment policy and urged the agency to extend by at least 180 days the July 18 and Sept. 16 deadlines for…