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The Impact of the New Prior Authorization Rule
In this conversation, Andrea Preisler, Jennifer Cameron, and David Jacobson, M.D., discuss what the new prior authorization rule means for making sure clinicians can do what they do best: taking care of their patients.
GAO report finds lack of oversight on Medicaid managed care plans’ prior authorization requirements for children
A report released May 29 by the Government Accountability Office found a lack of state oversight on Medicaid managed care plans’ use of prio
CMS seeks comments on information associated with attestation requirements included in Medicaid managed care access rule
The Centers for Medicare & Medicaid Services is seeking public comments until July 22 on the information requirements associated with attestation requirements included in the Medicaid managed care access rule.
AHA Statement: 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
Delaware, Tennessee become first states to provide diapers through Medicaid
The Centers for Medicare & Medicaid Services recently announced the approval of Delaware and Tennessee as the first states to provide diapers to children covered by Medicaid.
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.
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.