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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.

MedPAC unveils draft payment recommendations for 2025

The Medicare Payment Advisory Commission Dec. 8 discussed draft payment update recommendations for 2025, which the commission will vote on in January.

House subcommittee advances Medicare legislation

During a legislative markup Nov. 15, the House Energy and Commerce Health Subcommittee advanced to the full committee AHA-supported legislation (H.R. 6366) that would extend for one year the Geographic Practice Cost Index floor for physician work under the Medicare Physician Fee Schedule and delay for one year payment reductions of up to 15% under the Medicare Clinical Laboratory Fee Schedule.

CMS issues CY 2024 physician fee schedule final rule

The Centers for Medicare & Medicaid Services Nov. 2 released its calendar year 2024 final rule for the physician fee schedule.

AHA blog: Physician-owned Hospitals Cherry-pick Patients, Lead to Lower Quality and Less Access 

Physician-owned hospitals cherry-pick healthy and wealthy patients, provide limited emergency services and increase costs for patients, providers and the federal government, write AHA Executive Vice President Stacey Hughes and Federation of American Hospitals President and CEO Chip Kahn.

Theories Don’t Replace Facts: Physician-owned Hospitals Cherry-pick Patients, Lead to Lower Quality and Less Access

For more than a decade, the Ethics in Patient Referrals Act, more commonly known as the “Stark Law,” has protected the Medicare program from unfettered growth in physician-owned facilities and further expanding their practices of selecting the healthiest and most profitable patients, driving up utilization, and deferring emergency services to publicly funded 911 services or general acute care hospitals when their patients need emergency care.

AHA to CMS: Proposed physician fee schedule payment cut threatens patient access to care

Commenting on the physician fee schedule proposed rule for calendar year 2024, AHA urged the Centers for Medicare & Medicaid Services to work with Congress to eliminate the budget neutrality cut to the payment update, expressing deep concern about the rule’s almost 3.3% proposed cut to reimbursement. 

Congress urged to maintain limits on physician-owned hospitals

National hospital groups today urged Congress to oppose H.R. 2513, legislation that would loosen current restrictions on the growth of physician-owned hospitals.

AHA, FAH to Congress: Keep ban on self-referral to physician-owned hospitals

The AHA and the Federation of American Hospitals today urged Congress to oppose any legislation that would repeal current law limiting self-referral to physician-owned hospitals.

Blog: Health Affairs Article Misses the Mark on Physician-Owned Hospitals

A recent Health Affairs post gives an incomplete account of the implications of allowing new and expanded physician-owned hospitals to bill Medicare and Medicaid.