Medicare
On March 4, the Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) published proposed rules that would promote patient access to health information in Medicare, Medicaid, the Children’s Health Insurance Program (CHIP),…
The American Hospital Association urges the Centers for Medicare & Medicaid Services to use its upcoming proposed rules for IRFs and other post-acute care providers to address several issues related to the implementation of the revised case-mix grouping policies.
Bipartisan bills were recently introduced in both chambers of Congress to help alleviate the critical shortage of physicians. The Resident Physician Shortage Reduction Act of 2019 (S. 348/H.R. 1763) would add 3,000 Medicare-funded residency slots each fiscal year for the next five years, at least…
The Medicare Payment Advisory Commission Friday released its March report to Congress.
In the Centers for Medicare & Medicaid Services’ 2019 physician fee schedule final rule, the agency made an important change to the Clinical Laboratory Fee Schedule that will require many hospitals to report private payer rates for clinical laboratory services covered under the CLFS.
Policymakers have noted an upward shift in the intensity of services provided to fee-for-service (FFS) Medicare beneficiaries in hospital emergency departments (EDs), as reflected in the level of evaluation and management (E/M) visits coded. This report examines a number of factors contributing to…
As our country works to expand health coverage and improve access to care, “Medicare for All” is getting a lot of attention. There are many different flavors so it’s worth diving a little deeper into what “Medicare for All” really means. A new report released on Tuesday shows exactly what one…
Legislative proposals for a Medicare public option could negatively affect patient access to care and significantly reduce payments to hospitals, AHA Executive Vice President Tom Nickels said during a panel discussion today at America’s Health Insurance Plans’ National Health Policy Conference in…
The AHA released new tools to help the field prepare for appropriate use criteria reporting requirements that will start to go into effect on a voluntary basis this year and become mandatory in 2021.
The Protecting Access to Medicare Act (PAMA) requires the Centers for Medicare & Medicaid Services (CMS) to establish a program that promotes AUC for advanced diagnostic imaging. AUC are evidence-based criteria that assist professionals who order and furnish certain imaging services to make the…