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Accountable Care Organizations
What are Accountable Care Organizations? What are ACOs? An ACO is a group of clinicians, hospitals and other health care providers who come together voluntarily to give coordinated high-quality care a designated group of patients.
CMS Releases FY 2025 Skilled Nursing Facility PPS Proposed Rule
CMS proposes a number of operational updates to the VBP program that would revise regulatory language to account for changes adopted for the program in previous rulemaking as well as general program policies.
CMS Releases FY 2025 Inpatient Rehabilitation Facility PPS Proposed Rule
The CMS March 27 issued its proposed rule for the inpatient rehabilitation facility prospective payment system for fiscal year (FY) 2025.
AHA Responds to Senate RFI on the SUSTAIN 340B Act Draft
AHA welcomes the opportunity to provide feedback on the Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of (SUSTAIN) 340B Act bipartisan discussion draft and accompanying request for information on the critically important 340B Drug Pricing Program.
Protecting Critically Ill Medicare Beneficiaries Through Reforms to the Long-term Care Hospital PPS High-Cost Outlier Policy
AHA recommendations to CMS regarding protecting critically ill Medicare beneficiaries through reforms to the Long-term Care Hospital PPS High-Cost Outlier Policy.
AHA House Statement on Enhancing Access to Care at Home in Rural and Underserved Communities
AHA statement before the House Committee on Ways and Means regarding “Enhancing Access to Care at Home in Rural and Underserved Communities."
CMS Issues Proposed Rule for CY 2025 Medicare Advantage, Prescription Drug Plans
The Centers for Medicare & Medicaid Services (CMS) Nov. 6 released its proposed Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly, and Health Information Technology Standards for Contract Year (CY) 2025 (CMS-4205-P).
AHA Urges CMS to Swiftly Correct Medicare Advantage Plan Policies That Appear to Violate CY 2024 Rule
The American Hospital Association is deeply concerned that these practices will result in the maintenance of the status quo where MAOs apply their own coverage criteria that is more restrictive than Traditional Medicare proliferating the very behavior that CMS sought to address in the final rule, resulting in inappropriate denials of medically necessary care and disparities in coverage between beneficiaries in MA and those in the Traditional Medicare program.