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Innovation, rural, post-acute care and diversity spotlighted at AHA Executive Insight Sessions

The AHA yesterday and today held a number of number of Executive Insight Sessions focused on some of the most compelling and important issues facing hospital and health system leaders. Highlights of yesterday’s sessions are below.

Gragnolati formally introduced as AHA chairman

As AHA chairman, Gragnolati said it is a privilege to travel around the country and talk with members about access, affordability and inclusion in communities while “working alongside all of you to advance health in America.”

Nickels outlines hospital and health system advocacy priorities

Supporting access to care in rural communities and reining in escalating drug prices are two areas that have bipartisan support and could see legislative action in a divided government, AHA Executive Vice President Tom Nickels said today in a conversation with Frank Sesno, former CNN anchor and Washington bureau chief.

Some Health Care Startups Require Performance-Based Contracts

Even as many hospitals and health care systems continue to evaluate whether to participate in risk-based reimbursement models, some health care startups are betting their futures on it.

Collaboration in health care construction

Achieving success through effort, communication and understanding

MedPAC calls for ED visit coding guidelines, MA encounter data thresholds

The Medicare Payment Advisory Commission today voted to recommend that Congress direct the Health and Human Services secretary to develop and implement by 2022 a set of national guidelines for coding hospital emergency department visits.

Fact Sheet: The Resident Physician Shortage Reduction Act of 2019

The Balanced Budget Act of 1997 imposed caps on the number of residents for which each teaching hospital is eligible to receive Medicare direct graduate medical education (DGME) and indirect medical education (IME) payments. These caps have remained in place and have generally only been adjusted as a result of certain limited and one-time programs.

AHA, AAMC respond to HHS’s attempt to defend outpatient payment policy

The Department of Health and Human Services “effectively admits” that its goal in reducing payments for hospital outpatient clinic visit services furnished in off-campus provider-based departments grandfathered under Section 603 of the Bipartisan Budget Act of 2015 was to address a policy concern that Congress has already addressed through a different legislative solution, the AHA and other hospital plaintiffs told a federal district court today.

Fact Sheet: Long-term Care Hospitals

Long-term care hospitals (LTCHs) serve a critical role within the Medicare program by treating the sickest patients who need extended hospital stays. This important role is under threat as the LTCH field implements the Bipartisan Budget Act of 2013 requirement for “site-neutral” payments for cases with lower acuity. Analyses by the Medicare Payment Advisory Commission (MedPAC) and the AHA highlight the transformative nature of the site-neutral payment policy, which has led to the underpayment of 36 percent of LTCH cases, a more than $1 billion reduction in payments to LTCHs and LTCH closures.

McConnell to address AHA Annual Meeting on April 9

Senate Majority Leader Mitch McConnell, R-Ky., will address attendees at the AHA Annual Membership Meeting on Tuesday, April 9 during the Federal Forum.