Site-Neutral Payment Proposals
The AHA strongly opposes site-neutral proposals to reduce payment for certain hospital outpatient services furnished in excepted off-campus provider-based departments to 40 percent of the outpatient prospective payment system rate in calendar year 2019, the association told the Centers for Medicare…
The AHA is deeply disappointed in certain proposals that CMS has chosen to set forth in this proposed rule for the CY 2019 outpatient prospective payment system (OPPS), which run afoul of the law and rely on the most cursory of analyses and policy rationales. Taken together, they would have a…
Medicare patients who receive care in a hospital outpatient department (HOPD) are more likely to be poorer and have more severe chronic conditions than Medicare patients treated in an independent physician office (IPO). This study also specifically examined the characteristics of Medicare cancer…
Every site of care is not the same – they don’t all offer the same level of care or have the ability to treat the same types of patients.
On July 25, the Centers for Medicare & Medicaid Services (CMS) issued its CY 2019 outpatient prospective payment system/ambulatory surgical center proposed rule. In addition to standard updates, the rule would substantially expand Medicare site-neutral payment policies in several areas and make…
On July 12, the Centers for Medicare & Medicaid Services issued a proposed rule that would update physician fee schedule payments for calendar year 2019. The rule also included several proposals to the quality payment program created by the Medicare Access and CHIP Reauthorization Act. AHA’s…
The Centers for Medicare & Medicaid Services today proposed to update hospital outpatient prospective payment system rates by 1.25% in calendar year 2019 compared to CY 2018.