Site-Neutral Payment Proposals
The AHA supports several of the proposed rule’s provisions. In particular, we appreciate and endorse the agency’s proposal to permanently withdraw the 25% Rule; however, we have substantial concerns with the associated budget neutrality adjustment proposed by CMS. We also support the proposed…
Medicare pays long-term care hospitals less than half the cost of care for site-neutral cases under the LTCH prospective payment system, AHA told the Centers for Medicare & Medicaid Services Friday.
Medicare pays long-term care hospitals less than half the cost of care for site-neutral cases under the LTCH prospective payment system, AHA told CMS.
A recent opinion piece in The Hill “gives readers a one-sided, misleading and misinformed view on the issue of site-neutral payment proposals and consolidation in the health field.”
Americans rely heavily on hospitals to provide 24/7 access to care for all types of patients, to serve as a safety net provider for vulnerable populations, and to have the resources needed to respond to disasters. These roles are not explicitly funded; instead they are built into a hospital’s…
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 released its calendar year (CY) 2025 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule. The rule increases OPPS rates by a net 2.9% in CY 2025 compared to CY 2024.
The AHA today urged the Centers for Medicare & Medicaid Services to direct Medicare Administrative Contractors to quickly review hospital applications for the mid-build exception to Section 603 of the Bipartisan Budget Act of 2015, and notify hospitals whether they have been granted the…
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The Site-neutral Advocacy Alliance focuses on ensuring adequate payment for the higher level of care capability that hospitals provide in the outpatient setting and for post-acute care providers. It also monitors payment reduction proposals for other care sites.