Regulations and Regulatory Advocacy

Today, the American Hospital Association and three other national organizations representing hospitals and health systems sued the federal government, challenging last month’s final rule from the Centers for Medicare & Medicaid Services (CMS) mandating that hospitals disclose their privately…
These talking points are intended to help understand and explain why the hospital field has filed the lawsuit challenging the Centers for Medicare…
The American Hospital Association, Association of American Medical Colleges, the Federation of American Hospitals, National Association of Children’s Hospitals, Inc., Memorial Community Hospital and Health System, Providence Health System - Southern California d/b/a Providence Holy Cross Medical…
The Administration recently released a final rule requiring hospitals to disclose payer-specific negotiated rates. Specifically, the Centers for Medicare & Medicaid Services’ (CMS) final rule will require hospitals to post a list of five types of standard charges – now defined as gross charges…
Today, four national organizations representing hospitals and health systems sued the federal government, challenging last month’s contract disclosure rule from the Centers for Medicare & Medicaid Services (CMS).
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 issued a final rule updating physician fee schedule (PFS) payments for calendar year (CY) 2020. The rule also includes several policies implementing year four of the quality payment program (QPP) created by the Medicare Access and CHIP…
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 released the calendar year (CY) 2020 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) payment system final rule. In addition to standard updates, the rule finishes phasing in the site-neutral rate for clinic…
The Administration today released a final rule requiring hospitals to disclose payer-specific negotiated rates, along with a proposed rule that would impose new requirements on private insurers in the individual and group markets to publicly disclose negotiated rates and out-of-network allowed…