Medicare
The AHA voiced support for the Medicare Sequester COVID Moratorium Act (H.R. 315), legislation that would eliminate Medicare sequester cuts during the COVID-19 public health emergency.
The AHA today urged the Centers for Medicare & Medicaid Services to extend the deadline for hospitals to submit 2020 data for the Medicare Promoting Interoperability Program from March 1 to at least May 1, 2021, citing problems this year with the system used to submit the data.
AHA today urged the Centers for Medicare & Medicaid Services to immediately withdraw its Most Favored Nation model interim final rule and “replace it with a serious effort at drug pricing reform.”
The Centers for Medicare & Medicaid Services released a request for applications to participate in the Part D Payment Modernization Model in calendar year 2022.
Only 132 of the 334 off-campus provider-based hospital outpatient departments that requested a “mid-build” exception for Medicare to continue to pay them under the outpatient prospective payment system qualified for the exception, the Centers for Medicare & Medicaid Services announced.
The Centers for Medicare & Medicaid Services Jan. 15 released two planning tools to help states return to regular Medicaid and Children’s Health Insurance Program operations after the COVID-19 public health emergency ends, when many flexibilities and waivers granted to states for the emergency…
The Centers for Medicare & Medicaid Services issued a final rule that seeks to streamline prior authorization processes implemented by health plans serving the Medicaid, Children’s Health Insurance Program and federal Health Insurance Marketplace.
The Centers for Medicare & Medicaid Services finalized its proposal to codify how it defines “reasonable and necessary” coverage for items and services furnished under Medicare Parts A and B.
The Medicare Payment Advisory Commission (MedPAC, or the Commission) will vote this month on payment recommendations for 2022.
At A Glance
Health plans often inappropriately delay or decline coverage for medically necessary care. This can undermine the quality of care that is provided, strain the provider/patient relationship, result in bad debt for providers and unexpected bills for patients, and increase the burden on…