Medicare
The Centers for Medicare & Medicaid Services Sept. 24 issued a final rule that would carve out significant, anomalous, and highly suspect (SAHS) billing from Medicare Shared Savings Program financial calculations for calendar year 2023.
The Centers for Medicare & Medicaid (CMS) Aug. 1 finalized a new mandatory payment model that will bundle payment to acute care hospitals for five types of surgical episodes.
The Centers for Medicare & Medicaid Aug. 15 announced it negotiated lower prices with drug makers for 10 high-cost, sole-source drugs, with the new prices becoming effective in 2026 for individuals with Medicare Part D coverage.
The AHA, joined by five other national hospital associations, Aug. 14 filed an amicus brief urging the Supreme Court to correct the Department of Health and Human Services’ misinterpretation of the formula set by Congress to calculate Disproportionate Share Hospital (DSH) payments, which includes a…
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…