Site-Neutral Payment Proposals
Medicare patients who receive care in a hospital outpatient department are more likely to come from medically underserved populations and be sicker and more complex to treat than Medicare patients treated in independent physician offices and ambulatory surgical centers, according to a study by KNG…
A new study released today by the American Hospital Association (AHA) shows that Medicare patients who receive care in a hospital outpatient department (HOPD) are more likely to come from medically underserved populations and be sicker and more complex to treat than Medicare patients treated in…
Medicare beneficiaries may receive ambulatory care services in different settings, including independent physician offices (IPOs), hospital outpatient departments (HOPDs), emergency departments (EDs), and – for surgical services – ambulatory surgical centers (ASCs). Our findings suggest higher…
The Centers for Medicare & Medicaid Services (CMS) yesterday issued its fiscal year (FY) 2023 final rule for the inpatient and long-term care hospital (LTCH) prospective payment systems (PPS).
The Centers for Medicare & Medicaid Services (CMS) July 15 released its calendar year (CY) 2023 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) proposed rule that would increase OPPS rates by a net 2.7% in CY 2023 compared to CY 2022.
As strongly advocated by the AHA, the Centers for Medicare & Medicaid Services (CMS) today announced that it is rescinding prior audit denials for hospitals that had failed to qualify for the “mid-build exception” so that the agency can review the determinations.
In a letter sent to the Centers for Medicare & Medicaid Services, AHA expressed its continued concerns about audit determinations denying hospitals a “mid-build exception” to the site-neutral payment policy and urged the agency to extend by at least 180 days the July 18 and Sept. 16 deadlines…
In a letter to the Centers for Medicare & Medicaid Services, AHA expresses continued concerns about audit determinations denying hospitals a “mid-build exception” to the site-neutral payment policy and urged the agency to extend by at least 180 days the July 18 and Sept. 16 deadlines for…
IN THE
Supreme Court of the United States
_________
AMERICAN HOSPITAL ASSOCIATION, ET AL.,
Petitioners,
v.
XAVIER BECERRA, IN HIS OFFICIAL CAPACITY
AS SECRETARY OF HEALTH AND
HUMAN SERVICES,
Respondent.
On Petition for a Writ of Certiorari
to the United States Court of Appeals
for the District…
The AHA, joined by member hospitals and health systems and other national organizations representing hospitals, filed reply briefs in their petitions asking the U.S. Supreme Court to reverse appeals court decisions in two important cases for patients and providers.