Medicare

AHA Comments on CMS’Medicare Appeals Rights for Patient Status Changes Proposed Rule.
AHA Feb. 26 submitted comments on the Centers for Medicare & Medicaid Services’ proposed rule establishing appeals rights for Medicare beneficiaries admitted for an inpatient hospital stay subsequently reclassified to an outpatient stay with observation services.
Physicians and other practitioners who provided evaluation and management (E/M) services via telehealth during the first nine months of the COVID-19 public health emergency generally complied with Medicare requirements, according to a report released recently by the Department of Health and Human…
It is important for us to continue to exercise the principles of democracy that Washington and the Founding Fathers fought so hard for and speak up, asking hard questions of candidates in this election year and evaluating their thinking on the issues that affect our field.
Medicare pays most acute-care hospitals under the inpatient prospective payment system (IPPS). Some of these hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume.
A record 480 accountable care organizations will participate in the Medicare Shared Savings Program in 2024, including 19 that will participate in the new permanent payment option, the Centers for Medicare & Medicaid Services announced Jan. 29.
As congressional leaders continue to hammer out annual spending bills ahead of the Jan. 19 and Feb. 2 deadlines to fund various agencies, a number of important issues affecting hospitals and health systems are being considered.
The Medicare Payment Advisory Commission Jan. 11 voted to recommend that Congress update Medicare payment rates for hospital inpatient and outpatient services by the current law amount plus 1.5% for 2025, and reiterated its recommendation to distribute an additional $4 billion to safety-net…
Medicare paid hospitals a record low 82 cents for every dollar they spent caring for Medicare patients in 2022, according to a new AHA infographic.
While Medicare has historically reimbursed hospitals below the cost of providing care to patients, new data shows that Medicare payment levels hit record lows in 2022.