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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.
AHA blog: Physician-owned hospitals were restricted for good reason
A recent Health Affairs Blog post by physicians “gives an incomplete account of the implications of allowing new and expanded physician-owned hospitals to bill Medicare and Medicaid,” writes Shira Hollander, AHA senior associate director of policy.
New Analysis Reaffirms Need to Maintain Current Law Banning Self-Referral to Physician-Owned Hospitals
Data from the health care consulting firm Dobson | Davanzo, released today by the Federation of American Hospitals (FAH) and the American Hospital Association (AHA), shows that physician-owned hospitals (POHs), when compared to other hospitals, treat less medically complex and more financially lucrative patients, provide fewer emergency services, and treat fewer COVID-19 cases.
Medicare Advantage, Medicaid managed care plans to draw scrutiny from HHS watchdog
The Health and Human Services Office of Inspector General Aug. 28 released a strategic plan to align its audits, evaluations, investigations and enforcement of managed care plans in Medicare Advantage and Medicaid.
Administration announces first Medicare drug negotiation list
The Department of Health and Human Services announced the first list of Medicare Part D drugs subject to price negotiations, a tenet of the Inflation Reduction Act designed to reduce health care costs.
AHA Voices Concern Re: FY 2024 IPPS for Acute Care Hospitals Disproportionate Share Hospital Payments
AHA remains deeply concerned over the Centers for Medicare & Medicaid Services’ (CMS’) policies related to disproportionate share hospital payments in the agency’s final Inpatient Prospective Payment System rule for fiscal year (FY) 2024.
Congressional leaders urged to prevent Medicaid Disproportionate Share Hospital cuts
51 senators urged Senate leaders to avert $8 billion in annual payment cuts to the Medicaid Disproportionate Share Hospital program, scheduled to begin Oct. 1.
Congressional Leaders Urged to Prevent Medicaid Disproportionate Share Hospital Cuts
A bipartisan group of 51 senators, le
CMS: At least 1 in 3 Medicaid/CHIP enrollees up for renewal in April disenrolled
In the 18 states that began unwinding the continuous coverage requirement for Medicaid and Children’s Health Insurance Program enrollees in April, 46% of enrollees with coverage up for renewal had their coverage renewed, 32% were terminated and redeterminations for the rest are pending, the Centers for Medicare & Medicaid Services reported in its first monthly data report on renewals. For more information, see the CMS infographic.
California, Kentucky to add Medicaid mobile crisis services
The Centers for Medicare & Medicaid Services approved Medicaid state plan amendments for California and Kentucky to provide 24/7 community-based mobile crisis intervention services to eligible individuals experiencing a mental health or substance use crisis, as authorized by the American Rescue Plan Act.