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AHA responds to CMS request for information on Medicare Advantage data
The AHA May 29 submitted a letter to the Centers for Medicare & Medicaid Services responding to a request for information regarding Medicare Advantage data, urging CMS to increase oversight of the program.
RAND 5.0 – The Health Policy Equivalent of Groundhog Day
The RAND Corporation recently released the fifth iteration of its biannual hospital price report. The AHA highlights the significant flaws in this latest iteration.
Senate Finance Committee leaders release white paper on Medicare physician pay reform
Senate Finance Committee Chair Ron Wyden, D-Ore., and Ranking Member Mike Crapo, R-Idaho, released a white paper May 17 outlining policy concepts regarding pay reform for Medicare physicians.
AHA rebukes latest RAND report on hospital pricing
The RAND Corporation May 13 released its latest hospital pricing report, which focuses on prices paid for care at the hospital and service-line level.
Hospital Insurance Trust Fund solvent five additional years until 2036, Medicare trustees project
The Medicare Hospital Insurance Trust Fund will have sufficient funds to pay full benefits until 2036, according to the latest annual report by the Medicare Board of Trustees.
CMS opens comment period for Medicare Drug Price Negotiation Program
The Centers for Medicare & Medicaid Services May 3 announced the opening of the comment period for the Inflation Reduction Act’s Medicare Drug Price Negotiation Program, which will negotiate prices with drug makers for certain high-cost, sole-source drugs and apply them beginning in 2026. Comments are due July 2.
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.
Coalition urges CMS to hold ACOs harmless for anomalous catheter spending
Eleven organizations representing health care providers, including the AHA, April 29 urged the Centers for Medicare & Medicaid Services not to hold accountable care organizations responsible for anomalous Medicare spending beyond their control.
Representative Guthrie discusses cybersecurity, prior authorizations and telehealth
Rep. Brett Guthrie, R-Ky., addressed attendees of AHA’s 2024 Annual Membership Meeting and touched on many of the biggest issues in health care: cybersecurity; prior authorization and denials of care; extensions for expiring telehealth provisions; and how government and hospitals can work together to find solutions to these and other problems.
CMS administrator highlights response to Change Healthcare cyberattack, prior authorization improvements
The Change Healthcare cyberattack was a significant event that caught many off guard, said the Centers for Medicare & Medicaid Services Administrator Chiquita Brooks-LaSure, reiterating the age