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New AHA Report Shows Growing Pressure of Medicare Advantage on Rural Hospitals’ Ability to Care for Communities
The American Hospital Association today released a report that found rural hospitals face mounting challenges related to certain Medicare Advantage (MA) insurance plans that are affecting patient care and their sustainability as a critical health care provider.
AHA Statement on CMS Medicare Advantage Proposed Rule
The AHA commends CMS for taking important steps to increase oversight of 2026 Medicare Advantage plans to help ensure enrollees have equal access to medically necessary health care services. The AHA has previously raised concerns about the negative effects of certain Medicare Advantage practices and policies that have the potential to directly harm patients through unnecessary care delays or outright denial of covered services.
AHA Statement on CY 2025 OPPS Final Rule
Medicare's sustained and substantial underpayment of hospitals has stretched for almost two decades, and today's final outpatient rule only worsens this chronic problem. The agency's final increase of less than 3% for outpatient hospital services will make the provision of care, investments in the health care workforce, and addressing new challenges, such as cybersecurity threats, more difficult. These inadequate payments will have a negative impact on patient access to care, especially in rural and underserved communities nationwide.
AHA Statement on Site-Neutral Framework From Senators Hassan and Cassidy
Simply put, this framework from Senators Hassan and Cassidy will limit and eliminate critical hospital-based care, resulting in increased wait times and decreased access to care for patients. It is irresponsible to think that clawing back up to $140 billion of Medicare spending for seniors won’t destabilize access to care.
AHA Statement on J&J Abandoning Unlawful Proposed 340B Rebate Plan
The AHA is pleased that Johnson & Johnson has decided to cease implementation of its 340B rebate proposal, which would have harmed patients and 340B providers. We are especially appreciative of HRSA’s efforts to convince J&J to put an end to this unlawful proposal and those members of Congress who demonstrated their firm support of the 340B program.
AHA Statement on FY 2025 Final IPPS & LTCH Payment Rule
CMS’ payment updates for hospitals will exacerbate the already unsustainable negative or break-even margins many hospitals are already operating under as they care for their patients. The AHA is deeply concerned about the impact these inadequate payments will have on patient access to care, especially in rural and underserved communities.
AHA Statement on CY 2025 OPPS Proposed Rule
CMS has yet again proposed an inadequate update to hospital payments. This proposed increase for outpatient hospital services of only 2.6% comes despite the fact that many hospitals across the country continue to operate on negative or very thin margins that make providing care and investing in their workforce very challenging.
AHA Statement on Introduction of The Improving Seniors' Timely Access To Care Act
The AHA greatly appreciates the leadership from this bipartisan group of Senators and Representatives by reintroducing vital legislation to streamline the broken prior authorization process in the Medicare Advantage program. By removing unnecessary barriers that create delays in treatment, this meaningful bill will improve access to care for seniors and allow caregivers to spend more valuable time at the bedside with patients and less time on burdensome paperwork.
AHA Statement on Final 340B Administrative Dispute Resolution Process Rule From HHS
The Administration’s final rule for the 340B drug pricing program administrative dispute resolution (ADR) process is an important step in ensuring the integrity of the 340B program. The final rule contains several important process improvements, including a clear timeline for when ADR decisions must be made and an opportunity for reconsideration when parties are dissatisfied with the initial ADR decision.
AHA Statement on FY 2025 Proposed IPPS & LTCH Payment Rule
CMS’ proposed inpatient hospital payment update of 2.6% is woefully inadequate, especially following years of high inflation and rising costs for labor, drugs, and equipment. Many hospitals across the country, especially those in rural and underserved communities, continue to operate under unsustainable negative or break-even margins.