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2024 NPRM Addendum A Compared to July 2023
The Addendum A spreadsheet compares relative weights and payment rates at the APC level, using the 2024 proposed rule Addendum A compared to 2023 Addendum A (July 1, 2023 file), as downloaded from the CMS website.
2024 NPRM Addendum B Compared to July 2023
The Addendum B Spreadsheet compares relative weights and payment rates at the HCPCS level, using proposed rule Addendum B compared to 2023 Addendum B (July 1, 2023 file).
How to Achieve Digital Health Success
In today’s difficult financial environment amidst rising labor costs and staffing shortages, many health care organizations are prioritizing technology investments to improve operations.
Proposals to Reduce Medicare Payments Would Jeopardize Access to Essential Care and Services for Patients
This report provides key evidence as to why site-neutral payment policies are misguided, highlighting the substantial negative impact these policies and new legislative proposals would have on access to the care that the nation’s hospitals and health systems provide.
Setting the Record Straight: Private Equity and Health Insurers Acquire More Physicians than Hospitals Infographic
Private equity, physician groups and health insurers have acquired the vast majority of physician practices during the last five years. Percentage of acquired physicians by type, 2019-2023. Private equity: 65%; Physician Medical Groups: 14%; Health Insurers: 11%; Hospitals and Health Systems: 6%; Other Services: 4%.
Site-neutral Payment Policies Threaten Access to Hospital-level Care Infographic
Americans depend on hospitals providing 24/7 access to care. Hospitals serve all patients, regardless of ability to pay. Hospitals serve as a safety net for vulnerable populations. Hospitals must have the resources to respond to local disasters. Medicare fails to pay its fair share of these costs. Medicare reimburses hospitals only 84 cents for every dollar hospitals spend providing care to Medicare beneficiaries.
The 340B Program: How it Delivers Value to Patients and Providers
Over the past 30 years, the 340B Drug Pricing Program has played an essential role in ensuring health care providers have the ne
3 Keys to Addressing the Rural Maternal Health Crisis
Rural hospitals, which deliver about one in 10 babies nationally each year, have been closing in significant numbers. Despite the challenging environment, rural hospitals and health systems are taking traditional and innovative approaches to build or expand their maternal health programs.
Obstetrics: U.S. Rural Hospitals Infographic
The Obstetrics/U.S. Rural Hospitals infographic provides statistics on rural community hospitals in the U.S. and how many hospital births occur in them; the number of rural hospitals with obstetrics units and how many OB units have closed; and on maternity care deserts in the U.S. where access to maternity care is limited.
Comparison of Medicare Beneficiary Characteristics Report
Medicare beneficiaries may receive ambulatory care services in different settings, including independent physician offices (IPOs), hospital outpatient departments (HOPDs), emergency departments (EDs), and – for surgical services – ambulatory surgical centers (ASCs). Our findings suggest higher needs for patients treated in HOPDs as compared to other settings, because of SDOH and higher clinical complexity.