Regulations and Regulatory Advocacy
The AHA provided comments to the Centers for Medicare & Medicaid Services’ proposed changes to the hospital and hospital health care complex cost report.
UnitedHealthcare has suspended through the end of this month certain prior authorization requirements for in-network hospitals and skilled nursing facilities in its Medicare Advantage, Medicaid, individual and group health plans.
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…
AHA comments on the Centers for Medicare & Medicaid Services’ proposed changes to the hospital and hospital health care complex cost report.
Under a final rule, the Department of Health and Human Services must periodically assess each regulation to determine whether it has a significant economic impact on a substantial number of small entities, and if so review the regulation to determine whether to retain, modify or eliminate it.
AHA letter urging HHS to exercise enforcement discretion with respect to the hospital price transparency rule.
AHA comments on CMS’ proposed rule on prior authorization.
The AHA submitted comments to a Centers for Medicare & Medicaid Services request for information on regulatory relief to support economic recovery. Specifically, AHA urged the agency to take additional action to remove certain regulatory barriers standing in the way of efficiency and innovation…
AHA letter requesting the Biden Administration exercise enforcement discretion with respect to compliance with the Centers for Medicare & Medicaid Services’ hospital price transparency final rule requiring hospitals to make public, effective Jan. 1, 2021, all of the rates they negotiate with…
The Centers for Medicare & Medicaid Services (CMS) Dec. 1 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2021. The rule also adopts several policies to implement year five of the quality payment program (QPP) created by the Medicare Access and CHIP…