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Telling the Hospital Story
Hospitals and health systems and their teams have been on the front lines battling the COVID-19 pandemic for nearly two years. Hospitals and health care workers have stood strong for their communities, and they have a vital role in our society to keep communities healthy.
Fact Sheet: Majority of Hospital Payments Dependent on Medicare or Medicaid
It is broadly acknowledged that Medicare reimburses hospitals less than the cost of providing care and their reimbursement rates are non-negotiable.
AHA Testimony: Legislative Proposals To Increase Medicaid Access And Improve Program Integrity
On behalf of our nearly 5,000 member hospitals, health systems and other health care organizations, our clinician partners — including
HRSA Finalizes 340B Administrative Dispute Resolution Process
The Department of Health and Human Services (HHS) and the Health Resources and Services Administration (HRSA) April 19 published the 340B Administrative Dispute Resolution (ADR) final rule establishing a process that was required under the Affordable Care Act.
CMS Finalizes Medicaid Access and Payment Managed Care Rule
The CMS released April 22 a final rule focused on ensuring access to services for Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries in managed care delivery systems.
CMS Finalizes Medicaid Access and Payment Fee-for-service Rule
The CMS released April 22 a final rule focused on ensuring access to services for Medicaid beneficiaries in fee-for-service delivery systems in keeping with the Administration’s objectives to improve access for Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries.
Integrating Physical and Behavioral Health: The Time is Now
Unparalleled workforce shortages, negative margins and increasing labor expenses are creating multiple challenges for hospitals and health systems — but integrating physical and behavioral health services can reduce the total cost of care, improve outcomes and improve workforce satisfaction.
Following NYT Investigation, AHA Urges DOL to Investigate Actions of MultiPlan and Commercial Insurers
The American Hospital Association (AHA) writes regarding a recent The New York Times investigation into the disturbing incentives for data analytics firm, MultiPlan, and large commercial insurers like UnitedHealthcare, Aetna and Cigna, to cut reimbursement rates for care provided to employees of companies with self-funded employer insurance plans and increase costs for patients receiving that care.
CMS Issues Final Notice of Benefit and Payment Parameters for 2025
The Centers for Medicare & Medicaid Services (CMS) April 2 released its standards for qualified health plans (QHPs) offered through the health insurance marketplaces for 2025. Beginning in plan year 2025.
AHA Statement to House on "Access to Health Care in America: Ensuring Resilient Emergency Medical Care”
The American Hospital Association (AHA) welcomes the opportunity to comment on ways to ensure patients can receive timely emergency medical care, particularly in rural and underserved areas. We share the committee’s interest in ensuring that Americans have high-quality, affordable health care in the face of life-threatening crises.