Reimbursement

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…
Responding to the Centers for Medicare & Medicaid Services’ physician fee schedule proposed rule for calendar year 2021, the AHA said it appreciates the agency’s effort to continue certain pandemic-era policies that have helped hospitals and health systems ensure access to care for patients…
It is unfortunate that RAND continues to make broad claims about pricing based on a cherry-picked and limited data set.
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…
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.
The American Hospital Association urges the Department of Health and Human Services and the Centers for Medicare & Medicaid Services to exercise existing authorities to waive interest or substantially reduce the interest rate on any balance owed on accelerated/advanced payments made under…
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.