Ambulatory and Outpatient Care

The Centers for Medicare & Medicaid Services (CMS) Nov. 2 released its calendar year (CY) 2024 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule. The rule increases OPPS rates by a net 3.1% in CY 2024 compared to CY 2023. The rule also includes…
AHA comments on the CMS' hospital outpatient prospective payment system and ambulatory surgical center payment system proposed rule for calendar year (CY) 2024.
The AHA strongly opposes policies to decrease hospital reimbursements by eliminating “facility fees,” which are the direct and indirect costs that allow a hospital to continue to provide services to patients and serve the needs of their community.
A series of recent developments in Congress are adding significant urgency to AHA’s fight against site-neutral payment and other policies that would irreparably damage hospitals’ abilities to care for their communities, including a move to use rate setting that would offer commercial insurers a…
The AHA is deeply concerned that CMS is proposing a CY 2024 outpatient hospital payment update of only 2.8% despite persistent financial headwinds facing the hospital field.
AHA statement on legislative proposals that are to be considered before the Energy and Commerce Committee on May 24.
AHA comments on three topics that were discussed during the March 2023 Medicare Payment Advisory Commission public meeting: the hospital wage index, alignment of payment rates across ambulatory settings and Medicare Part B drug payments.
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…
Carbon Health has pivoted to concentrate on primary and urgent care. Its recent partnership with CVS Health involves a pilot program to use Carbon Health’s primary and urgent care clinic model in some of the drugstore chain’s outlets.