Reimbursement

Jan 26, 2021
A complicated set of factors involving governmental and private-sector spending on health care will bring about significant changes over the next several years that will effectively flatten reimbursement levels, even as demand for services is expected to keep growing. While that’s generally bad…
Nov 23, 2020
The Centers for Medicare & Medicaid Services (CMS) Nov. 20 released an interim final rule implementing the Most Favored Nation (MFN) Model, a new payment model through the Center for Medicare and Medicaid Innovation (CMMI) that will cut Medicare Part B payments for certain drugs to the lowest…
Sep 23, 2020
The mission of each and every hospital in America is to serve the health care needs of the people in its community 24 hours a day, seven days a week. But, hospitals’ work is made more difficult by our fragmented health care system — a system that leaves millions of people unable to afford the…
Sep 18, 2020
It is unfortunate that RAND continues to make broad claims about pricing based on a cherry-picked and limited data set.
Aug 25, 2020
Sign In to Download the Regulatory Advisory: Medicare Physician Fee Schedule: Proposed Rule for CY 2021
Jun 9, 2020
The Department of Health and Human Services (HHS) yesterday announced in an email that it is planning an additional $10 billion distribution of funds to hospitals that have been particularly affected by the increased burden of caring for those with COVID-19. To inform how these funds are…
Apr 13, 2020
The Centers for Medicare & Medicaid Services April 10 issued a proposed rule for the inpatient psychiatric facility (IPF) prospective payment system for fiscal year 2021.
Sep 25, 2019
The AHA supports a number of proposed policy changes that ensure access to care, support public health efforts, improve quality and promote regulatory relief. Specifically, we strongly support CMS’s proposed reversal of its previously finalized policies for evaluation and management payments.