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AHA Urges MedPAC to Examine Medicare Advantage Denials, Hospital Market Basket
We appreciate the Medicare Payment Advisory Commission’s (MedPAC) November meeting discussions on Medicare Advantage (MA) prior authorization and network management. As MedPAC begins its discussions on payment adequacy for the Medicare program, we outline concerns about the impact that the shifting labor force and costs have had on hospitals and health systems, including whether the current market basket methodology is adequate to capture these changes.
AHA Comments on CMS’ Proposed Medicare Advantage Policies for 2025
AHA comments on the CMS proposed rule for policy and technical changes to the Medicare Advantage program in contract year 2025.
CMS Issues Frequently Asked Questions Related to CY 2024 Medicare Advantage Final Rule
The CMS Feb. 6 released a Frequently Asked Questions document pursuant to the calendar year 2024 Medicare Advantage final rule, which went into effect Jan. 1.
Behavioral Health
This web page is designed to provide easy access to information and tools that will assist hospitals and health systems in navigating the changing behavioral health care system and understanding national, state and local activities affecting behavioral health.
CMS Finalizes Medicaid Disproportionate Share Hospital Third-party Payment Rule
The CMS Feb. 23 published a final rule that updates the regulatory requirements of the Medicaid disproportionate share hospital (DSH) program in response to Section 203 of the Consolidated Appropriations Act (CAA) of 2021.
Ensuring Access in Vulnerable Communities - Taskforce Report and Resources
The AHA Board of Trustees created the Task Force on Ensuring Access in Vulnerable Communities. Comprised of 29 hospital and health system leaders and state hospital association CEOs, the task force held meetings, heard from policymakers and conducted field hearings to speak with hospital and community leaders during a 15-month period.
Rural Advocacy Agenda 2024
The AHA supports policies and legislation that enable rural hospitals to care for their communities. The Rural Advocacy Agenda outlines some key areas of focus for our 2024 advocacy agenda.
Release 2024.2 Create Landing Pag eTest
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Suicide Prevention Resources
Access resources focused on suicide prevention, including Members in Action case studies, webinars, member calls, campaigns and publications.
Interoperability and Prior Authorization Final Rule
The CMS Jan. 17 finalized new regulations intended to streamline and reduce the burden associated with health plan prior authorization processes.