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Member

CMS Issues Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2026

The Centers for Medicare & Medicaid Services Nov. 21 released its calendar year 2026 outpatient prospective payment system and ambulatory surgical center final rule. The rule increases OPPS rates by a net 2.6% in CY 2026 compared to CY 2025.
Outpatient Prospective Payment Systems (OPPS), Ambulatory Surgical Center (ASC)
Member

Aetna Delays, Issues Additional Details on ‘Level of Severity Inpatient Payment’ Policy

The Centers for Medicare & Medicaid Services (CMS) Oct. 31 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2026.
Inpatient Prospective Payment Systems (IPPS)
Member

CMS Issues CY 2026 Physician Fee Schedule Final Rule

The Centers for Medicare & Medicaid Services (CMS) Oct. 31 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2026.
Physician Fee Schedule (PFS)/MACRA/QPP, Outpatient Prospective Payment Systems (OPPS), Telehealth, Medicare, Ambulatory and Outpatient Care, Behavioral Health Care Delivery, Medicare, Merit-based Incentive Payment System (MIPS), Interoperability, Medicare Physician Payment
Member

UPDATED: Implications for Hospitals and Health Systems During a Government Shutdown

Over the past 15 days, the Senate has voted nine times on the House-passed continuing resolution (CR) to extend government funding and health care waivers until Nov. 21.
Legislation and Legislative Advocacy, Advocacy Alliances, Medicaid DSH, Telehealth, Rural issues
Member

UPDATED: Implications for Hospitals and Health Systems During a Government Shutdown

Government funding and certain health care programs and waivers expired at midnight Sept. 30 as congressional leaders were unable to reach an agreement to keep the government funded.
Legislation and Legislative Advocacy, Advocacy & Public Policy, Medicaid DSH, Telehealth, Rural issues
Public

AHA, Microsoft Extend Rural Health Resiliency Offerings

As part of the AHA’s long-standing commitment to helping hospitals and health systems defend against and deflect cyberattacks, the AHA and Microsoft announced this week several new and updated offerings as part of the Rural Health Resiliency program.
Cybersecurity, Rural issues
Member

UPDATED: Implications for Hospitals and Health Systems as Government Shutdown Looms

Advisory revised Sept 28. with fiscal year 2026 agency contingency plans. Government funding is set to expire at midnight Sept. 30 without congressional action.
Advocacy & Public Policy, Legislation and Legislative Advocacy, Hospital at Home, Medicaid DSH, Rural issues, Workforce
Member

Implications for Hospitals and Health Systems as Government Shutdown Looms

Government funding is set to expire at midnight Sept. 30 without congressional action.
Advocacy & Public Policy, Legislation and Legislative Advocacy, Hospital at Home, Medicaid DSH, Rural issues, Workforce
Member

Advisory on AHA Letter to Aetna on New Inpatient Payment Policy

The AHA today urged Aetna to rescind its recently announced “level of severity inpatient payment” policy, saying that it “could erode the transparency consumers rely on to make informed decisions about their care, undermine important regulatory protections that safeguard patients’ coverage, and jeopardize the ability of hospitals to provide highquality, accessible care to all who need it.”
Reimbursement
Member

Inpatient PPS Final Rule for FY 2026

The CMS July 31 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2026.
Inpatient Prospective Payment Systems (IPPS)