Medicare
Hospitals and health systems are facing many significant challenges, including historic workforce shortages, soaring costs of providing care, cracks in the supply chain, severe underpayment by Medicare and Medicaid, and overwhelming regulatory and administrative burdens, just to name a few. These…
The Centers for Medicare & Medicaid Services released its standards for qualified health plans offered through the health insurance marketplaces for 2024. CMS finalized with limited exceptions its proposal to require all plans (regardless of marketplace type) to comply with network adequacy and…
The Medicare Payment Advisory Commission today voted to recommend Congress adopt additional site-neutral payment policies for certain outpatient services; reduce add-on payments and adopt other policies to address high Medicare Part B drug costs; and repeal the existing Medicare wage index system…
After an over 9-year legal odyssey, AHA and three of its member hospitals succeeded in taming an immense backlog of Medicare appeals that the government had ignored despite the real threat it posed of widespread hospital insolvencies.
The AHA voices support legislation, the Resident Physician Shortage Reduction Act of 2023 (H.R. 2389).
Plaintiffs the American Hospital Association (“AHA”), Baxter Regional Medical Center, Covenant Health, and Rutland Regional Medical Center (collectively, “Plaintiffs”) bring this mandamus complaint to compel the Secretary of Health and Human Services (“HHS”) to meet the statutory deadlines for…
ALJ Delay April 2023 Status Report Filed April 7, 2023 regarding AHA, Hospitals Sue to Require HHS to Meet Deadlines for Deciding Appeals.
Commenting April 4 on topics discussed by the Medicare Payment Advisory Commission in March, AHA said it continues to strongly oppose additional site-neutral payment cuts to hospital outpatient departments, which need stable and adequate government reimbursements to ensure access to care in this…
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.
Sens. Bob Casey, D-Pa., and Chuck Grassley, R-Iowa, have introduced the Rural Hospital Support Act (S.1110), AHA-supported legislation that would make permanent the Medicare-dependent Hospital program and enhanced low-volume Medicare adjustment for small rural prospective payment system hospitals.