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AHA shares ERISA recommendations with House committee
Responding March 15 to a House Committee on Education and the Workforce request for comments on ways to strengthen the Employee Retirement Income Security Act, AHA called for greater oversight of ERISA-regulated insurers to prevent inappropriate care denials, payment delays and self-dealing by vertically integrated insurers.
Innovative Solutions for Delivering Mental and Behavioral Health Care Services
Kimberlydawn Wisdom, M.D., M.S., IFDHE Board Chairperson, Senior Vice President, Community Health & Equity and Chief Wellness & Diversity Officer,Henry Ford Health System, Detroit answers questions regarding innovative solutions for delivering mental and behavioral health care services
Congress passes spending package with health care extenders
The Senate voted 75-22 on March 8 to pass and send to the president for his signature a package of six appropriations bills funding certain federal agencies through fiscal year 2024, which contains health care provisions of interest to hospitals.
AHA shares recommendations with House Budget Committee task force
Responding to a request for stakeholder input, AHA shared (LINK) with the House Budget Committee Health Care Task Force its recommendations to make health care more affordable without compromising access to high quality care.
CMS releases star ratings for 2024 Medicare Advantage, prescription drug plans
The Centers for Medicare & Medicaid Services released its star ratings for 2024 Medicare Advantage and prescription drug plans, which are available through the Find Plans tool at Medicare.gov.
AHA submits comments to House hearing on Medicare legislative proposals
AHA on Oct. 19 submitted a statement to the House Energy and Commerce Health Subcommittee on legislative proposals involving Medicare.
House letter on AI use in Medicare Advantage denials
Over 30 members of the House of Representatives Nov. 3 urged the Centers for Medicare & Medicaid Services to monitor and evaluate how Medicare Advantage plans use artificial intelligence and algorithms to guide their coverage decisions, and ensure these tools comply with Medicare rules and do not create barriers to care.
CMS releases proposed rule for 2025 Medicare Advantage, prescription drug plans
The Centers for Medicare & Medicaid Services Nov. 6 proposed changes to the Medicare Advantage and prescription drug programs for contract year 2025 intended to improve access to behavioral health care; ensure that agents and brokers enroll individuals in the best plan for their needs and that MA plans offer appropriate supplemental benefits; streamline enrollment for individuals dually eligible for Medicare and Medicaid; and annually review MA utilization management policies for health equity considerations.
Report: U.S. hospitals face diminished reserves, mounting reimbursement challenges
Payment denials by Medicare Advantage plans jumped 56% for the median health system between January 2022 and June 2023, contributing to a 28% decline in median cash reserves, according to the latest analysis of data from over 1,300 hospitals and health systems by Syntellis Performance Solutions and the AHA.
AHA urges CMS to swiftly correct MA plan policies that appear to violate CY 2024 rule
Certain Medicare Advantage organizations have issued policies for the coming year that AHA believes do not fully adhere to requirements in the MA final rule for calendar year 2024, the association alerted the Centers for Medicare & Medicaid Services Nov. 20.