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Fact Sheet: Underpayment by Medicare and Medicaid
Each year, the American Hospital Association (AHA) collects aggregate information on the payments and costs associated with care delivered to beneficiaries of Medicare and Medicaid by U.S. hospitals.
Fact Sheet: Hospitals Need Additional Flexibility on Repaying CMS Accelerated and Advance Payments
The Centers for Medicare & Medicaid Services’ (CMS) accelerated/advance payment program provides necessary funds when there are disruptions in claims submission and/or processing.
Fact Sheet: Medicare Sequester Relief Extension Needed for Health Providers During COVID-19 Public Health Emergency
The COVID-19 pandemic has resulted in historic challenges for hospitals and health systems and the
communities they serve, placing unprecedented stress on the entire health care system and its financing.
Fact Sheet: COVID-19 Related Payer Mix Changes Threaten 340B Hospital Eligibility
The COVID-19 pandemic has altered hospitals’ payer mix, which for some hospitals has temporarily lowered their
disproportionate share hospital (DSH) percentage. These changes have unfortunately threatened the ability of some
hospitals to maintain their eligibility for the 340B program – a vital program that allows participating hospitals to stretch
their resources to provide comprehensive services to their patients.
Fact Sheet: Hospitals Need Additional COVID-19 Provider Relief Fund Support to Assist with Ongoing Challenges
More than 24 months after the first cases of COVID-19 were reported in the U.S., the pandemic has afflicted millions of
people across the country has imposed historic challenges for the hospitals and health systems that care for them.
Fact Sheet: Viable Unified Post-acute Care Payment Model Not Possible Under Current Approach
The unified post-acute care (PAC) payment system required by the Improving Medicare Post-Acute Care
Transformation (IMPACT) Act of 2014 is not on track to protect access to medically necessary PAC services.
Key Provisions in the Infrastructure Investment and Jobs Act
The following are highlights of provisions included in the Infrastructure Investment and Jobs Act that may affect hospitals and health systems and the communities they serve.
Data Brief: Health Care Workforce Challenges Threaten Hospitals’ Ability to Care for Patients
More than 20 months after the first cases of COVID-19 were reported in the U.S., the pandemic continues to affect communities across the country and has pushed our health care system to the brink, with the latest surge from the delta variant raising new challenges.
Key Messages on Consolidation
The financial health of the hospital field has been shaken during the pandemic. Health systems have demonstrated benefits. Mergers expand the capacity of smaller and rural hospitals. A focus on hospital consolidation ignores larger market trends. The cost of providing care continues to increase. Critics of mergers too often rely on incomplete evidence. Commercial insurers do not always pass on savings from lower hospital prices.