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CMRP Finance and Health Care Supply Chain Course
e-Learning
Updated for 2020! Begin your studies of the Supply Chain Management and Finance relationship portion within the CMRP examination with a new interactive and engaging self-directed course.
Article Featured in USA Today Highlights How Policies from Anthem, Other Insurers Threaten Patient Care
Anthem, the country’s second-biggest health insurance company, is behind on billions of dollars in payments owed to hospitals and doctors because of onerous new reimbursement rules, computer problems and mishandled claims, says a Kaiser Health News article that is spotlighted in USA Today.
Statement on Rand Study on Hospital Prices
It is unfortunate that RAND continues to make broad claims about pricing based on a cherry-picked and limited data set.
Fact Sheet: Hospital Costs Explained
The mission of each and every hospital in America is to serve the health care needs of the people in its community 24 hours a day, seven days a week. But, hospitals’ work is made more difficult by our fragmented health care system — a system that leaves millions of people unable to afford the health care services they need.
Video from AHA Virtual Advocacy Day: March 16, 2021
This video includes an AHA Virtual Advocacy Day presentation on legislation to secure the extension of the Medicare sequestration moratorium set to expire on April 1, 2021.
Hospital OPPS/ASC Final Rule for CY 2021, Including Maintenance of 340B Cuts
The Centers for Medicare & Medicaid Services Dec. 2 issued its calendar year (CY) 2021 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) final rule. In addition to standard updates, the rule maintains previous payment cuts for certain drugs purchased under the 340B drug savings program, expands the list of outpatient services subject to prior authorization, eliminates the inpatient-only list over three years, makes significant changes to the hospital star ratings methodology, changes the physician-owned hospital policy and requires new hospital COVID-19 data reporting.
CMS Releases CY 2021 Final Rule for Physician Fee Schedule Payments
Summary of CMS’ CY 2021 Medicare physician fee schedule final rule
AHA comments on CMS’ physician fee schedule proposed rule for CY 2021
Responding to the Centers for Medicare & Medicaid Services’ physician fee schedule proposed rule for calendar year 2021, the AHA said it appreciates the agency’s effort to continue certain pandemic-era policies that have helped hospitals and health systems ensure access to care for patients during the COVID-19 public health emergency.
What It Takes to Create Disproportionate Value in Challenging Times
A complicated set of factors involving governmental and private-sector spending on health care will bring about significant changes over the next several years that will effectively flatten reimbursement levels, even as demand for services is expected to keep growing. While that’s generally bad news for providers, those who develop innovative new business models can create disproportionate value in this challenging market, notes a recent McKinsey & Co. analysis.