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Public

AHA to MedPAC Re: Physician Fee Schedule Payments, A-APM Incentives and Medicare Advantage Network Adequacy

AHA comments regarding the Medicare Payment Advisory Commission (MedPAC) November meeting sessions related to physician fee schedule payments, advanced alternative payment model (A-APM) incentives and Medicare Advantage (MA) network adequacy.
Member

340B Advocacy Alliance Bulletin - December 3, 2024

340B Advocacy Alliance Bulletin for December 3, 2024.
Member

AHA 340B Advocacy Alliance Bulletin - December 3, 2024

AHA 340B Advocacy Alliance Bulletin - December 3, 2024.
Member

Special Bulletin: CMMI Issues Increasing Organ Transplant Access (IOTA) Model Final Rule

The Center for Medicare and Medicaid Innovation (CMMI) Nov. 26 finalized a new mandatory payment model that will begin on July 1, 2025 and test whether hospital performance-based incentive payments or penalties will increase access to kidney transplants while preserving or enhancing the quality of care and reducing Medicare expenditures. The rule also includes standard provisions that will apply to all CMMI models whose first performance period begins on or after Jan. 1, 2025.
Member

Special Bulletin: CMS Issues Proposed Rule for CY 2026 Medicare Advantage, Prescription Drug Plans

The Centers for Medicare & Medicaid Services (CMS) Nov. 26 released its proposed Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly for Contract Year (CY) 2026.

AHA Comments to CMS on FY 2025 Wage Index Values

The AHA has long stated that while we appreciated CMS’ recognition of the wage index’s shortcomings, the agency should not have implemented this policy by penalizing all hospitals, especially when Medicare already pays far less than the cost of providing care. As such, if CMS does address payments under this policy in FYs 2020-2024, it should not seek a clawback of funds that hospitals received because of the agency’s mistakes and have long since spent on patient care.
Public

AHA, Others Urge Congress to Extend Medicare Advanced Alternative Payment Model in End-of-year Legislative Package

AHA, others urge congress to extend Medicare advanced alternative payment model in end-of-year legislative package.
Member

Home Health Prospective Payment System Final Rule for CY 2025

The Centers for Medicare & Medicaid Services (CMS) Nov. 1 issued its calendar year (CY) 2025 final rule for the home health (HH) prospective payment system (PPS).
Member

Medicare Physician Fee Schedule CY 2025 Final Rule

The Centers for Medicare & Medicaid Services (CMS) Nov. 1 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2025.
Member

AHA 340B Advocacy Alliance Bulletin - November 13, 2024

Johnson & Johnson yesterday filed a lawsuit against the Department of Health and Human Services and the Health Resources and Services Administration asking a federal court in Washington, D.C., to declare J&J’s proposed 340B rebate model legal and block the government’s attempts to prohibit its implementation.