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Futurescan: Health Care Trends and Implications Publication
Futurescan is a series of publications for health care leaders that the American Hospital Association’s (AHA’s) Society for Health Care Strategy & Market Development (SHSMD) in collaboration with the American College of Healthcare Executives (ACHE) has published annually since 1999.
CMS extends unwinding flexibilities for states through June 2025
The Centers for Medicare & Medicaid Services May 9 announced an extension of unwinding flexibilities to support state efforts to protect the continuity of coverage in Medicaid and the Children's Health Insurance Program.
Fact Sheet: Majority of Hospital Payments Dependent on Medicare or Medicaid
It is broadly acknowledged that Medicare reimburses hospitals less than the cost of providing care and their reimbursement rates are non-negotiable.
Agencies release new process for resubmitting IDR disputes
The departments of Health and Human Services, Labor, and the Treasury May 1 released a new process for resubmitting disputes under the No Surprises Act independent dispute resolution process that were originally improperly batched or bundled.
AHA Testimony: Legislative Proposals To Increase Medicaid Access And Improve Program Integrity
On behalf of our nearly 5,000 member hospitals, health systems and other health care organizations, our clinician partners — including
House subcommittee holds hearing on Medicaid access, program integrity
AHA submitted a statement to the House Energy and Commerce Subcommittee on Health for a hearing April 30 on proposed legislation to address Medicaid access and program integrity.
CMS Finalizes Medicaid Access and Payment Managed Care Rule
The CMS released April 22 a final rule focused on ensuring access to services for Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries in managed care delivery systems.
CMS Finalizes Medicaid Access and Payment Fee-for-service Rule
The CMS released April 22 a final rule focused on ensuring access to services for Medicaid beneficiaries in fee-for-service delivery systems in keeping with the Administration’s objectives to improve access for Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries.
AHA Statement on Medicaid Managed Care Access, Finance and Quality Rule
The AHA appreciates that CMS acknowledges the critical role hospitals play in state Medicaid financing and the importance of supplemental payments to sustain beneficiary access to care in light of low Medicaid base payment rates, including rates paid through managed care organizations. I
Massachusetts Medicaid demonstration expands services, continuous eligibility
The Centers for Medicare & Medicaid Services April 19 approved an amendment to a Massachusetts Medicaid and Children’s Health Insurance Program demonstration to add health-related social needs services; expand Marketplace subsidies and cost-sharing assistance; provide pre-release services to eligible incarcerated beneficiaries; and expand continuous eligibility to 24 months for older adults experiencing homelessness and 12 months for other adults.