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Prior Authorization Final Rule Will Improve Patient Access, Alleviate Hospital Administrative Burdens
The Centers for Medicare & Medicaid Services (CMS) Jan. 17 finalized new regulations aimed at reforming the prior authorization process.
AHA podcast: Sparking Social Connection and Community With Indiana University Health
Two guests discuss a care network launched by Indiana University Health to spark social connection and community in light of the U.S. Surgeon General’s 2023 report declaring loneliness and social isolation an “epidemic” in American society.
FTC, HHS seek comment on generic drug shortages and competition
The Federal Trade Commission and Department of Health and Human Services Feb. 14 requested comments for 60 days on market concentration and contracting practices among group purchasing organizations and drug wholesalers to understand their potential impact on pricing and generic drug shortages.
Bills would reauthorize programs to support health care workers, pediatric emergency care
The House Energy and Commerce Subcommittee on Health Feb. 14 held a hearing on AHA-supported legislation to reauthorize through 2029 the Dr. Lorna Breen Health Care Provider Protection Act (H.R. 7153), which provides grants to help health care organizations offer behavioral health services for front-line health care workers.
CMS finalizes prior authorization rule; hospital event highlights need for rule
The Centers for Medicare & Medicaid Services Jan. 17 released a final rule requiring Medicare Advantage, Medicaid and federally facilitated Marketplace plans to streamline their prior authorization processes. AHA has urged the agency to finalize the rule to alleviate provider burden and ensure timely access to care for patients.
AHA, others urge Supreme Court to review challenge to HHS interpretation of DSH formula
The AHA, joined by five other national associations representing hospitals, Feb. 2 urged the U.S. Supreme Court to review a case challenging how the Department of Health and Human Services applies Congress’ formula for calculating Disproportionate Share Hospital payments.
Small Steps Can Make a Big Impact on Your Mental Well-being
According to a 2022 report from the Journal of the American Medical Association, even now, long after the height of the crisis, health care workers’ emotional exhaustion is 27% more prevalent than pre-pandemic. The lasting effects of the pandemic on mental health are real, and they are challenging.
Bill would reauthorize Dr. Lorna Breen Health Care Provider Protection Act
AHA Jan. 30 voiced support for bipartisan, bicameral legislation to reauthorize through 2029 the Dr. Lorna Breen Health Care Provider Protection Act, which provides grants to help health care organizations offer behavioral health services for front-line health care workers.
MACPAC recommends changes to improve Medicaid managed care oversight
The Medicaid and CHIP Payment and Access Commission (MACPAC) last week recommended seven changes to Medicaid managed care policy to better monitor denials and improve the appeals process.
Government Programs Don’t Cover the Cost of Caring … Hospitals Need Support, Not More Payment Cuts That Would Jeopardize Access to Care and Services
The federal government has a history of reimbursing hospitals below of the cost of providing care to patients.