Medicare

There are many parts of the health care delivery and financing systems that urgently need updating, and the matter of "charges" is among those at the top of the list. "Charges" were a central part of the former cost-based reimbursement system that disappeared from the scene decades ago.
Sicker, more complex Medicare patients are driving up the intensity of emergency department (ED) care, a new report released today by the American Hospital Association (AHA) found.
On March 18, CMS issued an Administrators Ruling making immediate (but temporary) changes to its existing rebilling policy and a proposed rule, which would implement a permanent change.
The AHA strongly supports the Medicare Audit Improvement Act of 2013. It will provide needed oversight of CMS audit contactors and ensure the accuracy of Medicare and Medicaid payments.
On Feb. 7, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to revise and clarify certain existing Medicare regulations.
Today's hospital bill is a symptom of a broken payment system. Nationally, hospitals deal with over 1,300 insurers, each having different plans, all with multiple and often unique requirements for hospital bills.
The AHA applauds the renomination of Marilyn Tavenner to serve as administrator of the Centers for Medicare & Medicaid Services (CMS).
On Jan. 2, 2013, President Obama signed into law H.R. 8, the American Taxpayer Relief Act of 2012 (ATRA).
While fixing the physician payment formula is essential, it should not be done by jeopardizing hospitals’ ability to care for seniors and their communities. That’s why we are very disappointed at the approach taken in this measure.