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Making our Voice Heard and Leading the Way to Advance Health in America
It is important for us to continue to exercise the principles of democracy that Washington and the Founding Fathers fought so hard for and speak up, asking hard questions of candidates in this election year and evaluating their thinking on the issues that affect our field.
AHA blog: What CMS’ prior authorization final rule means for hospitals, patients
Andrea Preisler, AHA’s senior associate director of administrative simplification policy, explains why the recent final rule requiring Medicare Advantage, Medicaid and federally facilitated Marketplace plans to streamline their prior authorization processes should help reduce the burden on hospitals and clinicians and speed needed care for patients.
CMS finalizes prior authorization rule; hospital event highlights need for rule
The Centers for Medicare & Medicaid Services Jan. 17 released a final rule requiring Medicare Advantage, Medicaid and federally facilitated Marketplace plans to streamline their prior authorization processes. AHA has urged the agency to finalize the rule to alleviate provider burden and ensure timely access to care for patients.
Fact Sheet: Rural Hospital Support Act (S.4009) & the Assistance for Rural Community Hospitals Act (H.R.8747)
Medicare pays most acute-care hospitals under the inpatient prospective payment system (IPPS). Some of these hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume.
AHA, others urge Supreme Court to review challenge to HHS interpretation of DSH formula
The AHA, joined by five other national associations representing hospitals, Feb. 2 urged the U.S. Supreme Court to review a case challenging how the Department of Health and Human Services applies Congress’ formula for calculating Disproportionate Share Hospital payments.
CMS reports record participation in Medicare ACOs this year
A record 480 accountable care organizations will participate in the Medicare Shared Savings Program in 2024, including 19 that will participate in the new permanent payment option, the Centers for Medicare & Medicaid Services announced Jan. 29.
Infographic: Medicare Significantly Underpays Hospitals for Cost of Patient Care
While Medicare has historically reimbursed hospitals below the cost of providing care to patients, new data shows that Medicare payment levels hit record lows in 2022.
White Paper: Medicare’s LTCH Outlier Policy Needs Reforms to Protect Extremely Ill Beneficiaries
Long-term care hospitals (LTCHs) play an important role for Medicare beneficiaries by caring for complex patients who
require extended hospitalization.
Take Action Now to Protect Patient Care
As congressional leaders continue to hammer out annual spending bills ahead of the Jan. 19 and Feb. 2 deadlines to fund various agencies, a number of important issues affecting hospitals and health systems are being considered.
MedPAC votes on 2025 payment recommendations
The Medicare Payment Advisory Commission Jan. 11 voted to recommend that Congress update Medicare payment rates for hospital inpatient and outpatient services by the current law amount plus 1.5% for 2025, and reiterated its recommendation to distribute an additional $4 billion to safety-net hospitals by transitioning to a Medicare safety-net index policy.