Medicare
The AHA Aug. 13 commented to the Medicare Payment Advisory Commission in anticipation of the commission’s 2024-2025 cycle.
In this webinar, AHA staff discussed the recently released CY 2025 Physician Fee Schedule proposed rule. This rule proposes updates to physician fee schedule rates, changes to telehealth services, updates for behavioral health and opioid use disorder, and other aspects of physician…
Congressional action is needed to ensure greater oversight of MA plans as these rules are implemented and to enable CMS to enforce existing regulations designed to protect beneficiary access to medically necessary services.
Humana’s CenterWell will be leasing space to open 23 senior-focused primary care clinics outside former Walmart health clinics just three months after Walmart announced it was closing its 51 Walmart Health centers in five states and exiting its telehealth business.
The Centers for Medicare & Medicaid Services (CMS) July 10 issued its physician fee schedule (PFS) proposed rule for calendar year (CY) 2025.
The AHA along with the Federation of American Hospitals, America’s Essential Hospitals and the Association of American Medical Colleges July 29 filed an amicus brief in the U.S. Court of Appeals for the District of Columbia in support of hospitals’ continued right to seek immediate review of any…
Amicus Brief, AHA, Others File Amicus Brief Challenging Reviewability of Certain CMS Determinations
AHA's comments on CMS' proposed rule to mitigate the impact of significant, anomalous and highly suspect (SAHS) billing activity within the Medicare Shared Savings Program (MSSP) in calendar year (CY) 2023.
Congress is considering legislation that would change current billing practices for Medicare and the commercial insurance market to require each off-campus hospital outpatient department (HOPD) to be assigned a unique NPI as a condition of payment.
The Centers for Medicare & Medicaid Services July 16 released its final guidance on the Medicare Prescription Payment Plan which will begin next year.