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CMS Finalizes SNF Disclosure of Ownership Rules, Applies Definitions to Hospital Enrollment
The Centers for Medicare & Medicaid Services (CMS) Nov. 15 issued a final rule requiring the disclosure of ownership, managerial and other information for skilled-nursing facilities (SNFs) and nursing facilities (NFs).
Resources to Address 340B Underpayments by Medicare Advantage Organizations
To assist members in their efforts to obtain reimbursement under their contracts with their MAO plans, we have identified and spoken with four outside law firms that have considerable experience with 340B questions and litigating against insurers on issues like these.
Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2024
The Centers for Medicare & Medicaid Services (CMS) Nov. 2 released its calendar year (CY) 2024 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule. It increases OPPS rates by a net 3.1% in CY 2024 compared to CY 2023 and includes final policies regarding hospital price transparency, behavioral health services and Rural Emergency Hospitals (REHs).
Home Health Prospective Payment System Final Rule for CY 2024
The Centers for Medicare & Medicaid Services (CMS) on Nov.
Talking Points — Ensuring the Protection of the Vital 340B Program for Patients and Providers
Ensuring the Protection of the Vital 340B Program for Patients and Providers
Advocacy Issue: 340B Drug Pricing Program
The 340B program has worked successfully for over 30 years to allow eligible providers to stretch limited federal resources to provide more comprehensive programs and services to more patients. This is exactly what Congress intended when it created the program in 1992.
AHA, ASHP Letter Opposing Site-neutral Legislation
The American Hospital Association and American Society of Health-System Pharmacists express concerns that proposed site-neutral legislation in the House and Senate could reduce access to patient care and jeopardize patient safety.
Advocacy Issue: Hospital Inpatient (IPPS) Payment
America’s hospitals and health systems continue to face unprecedented financial pressures due to the ongoing effects of the COVID-19 pandemic and current inflationary economy. Historic inflation has extended and heightened the already severe economic instability brought on by the pandemic resulting in razor thin operating margins from massive surges in input costs, including a struggling workforce, drug costs, supplies and equipment.
Advocacy Issue: Long-Term Care Hospital Payment
Long-term care hospitals, or LTCHs, and the other three post-acute care settings have been central to our recovery from COVID-19. The pandemic has particularly highlighted the distinct clinical competencies of LTCHs.
AHA Comments on the Better Mental Health Care, Lower-Cost Drugs, and Extenders Act
AHA comments on the Better Mental Health Care, Lower-Cost Drugs, and Extenders Act.