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Member

Alert with Model Letter on CMS Medicare Advantage RFI on Prior Authorization for Hospital Transfers

The Centers for Medicare & Medicaid Services (CMS) Jan.
Member Non-Fed

Model Letter on Medicare Advantage RFI on Prior Authorization for Hospital Transfers

The Centers for Medicare & Medicaid Services (CMS) Jan. 12 released a proposed rule for the Medicare Advantage program, which includes a request for information (RFI) on prior authorization for hospital transfers to post-acute care settings during a public health emergency. The AHA has developed a model comment letter that hospitals and health systems can use to assist with submitting their own comments in response to the RFI.
Public

Hospitals at Home with UnityPoint Health

The hospital at home model of care is emerging as an important strategy to improve value during the COVID-19 pandemic and beyond.

3 Critical Health Care Focus Areas for 2022

Health care providers face a reality that was unimaginable a couple of years ago. Service lines continue to be interrupted by COVID-19, with no end in sight. These and other trends have sped up health care transformation. And while the future appears anything but clear, thought leaders have issued a slew of predictions and analyses about what executives should be taking away from the current trends.

Fact Sheet: Viable Unified Post-acute Care Payment Model Not Possible Under Current Approach

The unified post-acute care (PAC) payment system required by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 is not on track to protect access to medically necessary PAC services.
Public

Case Study: Sky Lakes Medical Center: How Becoming a “Blue Zone” Advanced the Health of Klamath Falls, Oregon

Sky Lakes Medical Center (SLMC), located in Klamath Falls, Oregon, is a rural, not-for-profit, community-owned, internationally accredited acute-care teaching hospital.
Member

Urge Congress to Remove Hospital Cuts, Advance Other Priorities in Legislative Packages

Congress is back in Washington, D.C. this week with a number of major priorities to tackle before the end of the year. Congress could act as soon as this week on some of these year-end items so it is important that you weigh in now.
Member

Home Health PPS Final CY 2022 Rule

We appreciate CMS’ issuance of a streamlined rule, which allows HH agencies and their hospital and other local partners to focus on their response to the COVID-19 pandemic.

Prepare for Shifts in Alternative Care Settings

With the effects of COVID-19 expected to continue for some time, providers can expect many of the trends that developed over the past two years to continue. Care delivered in alternative settings to hospitals, for example, is expected to increase considerably before the decade closes.