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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.
Transforming Episode Accountability Model (TEAM) Proposed Rule
The Centers for Medicare & Medicaid Innovation (CMMI) on April 10 proposed a new mandatory payment model that would bundle payment to acute care hospitals for five types of surgical episodes.
Letter to CMS Administrator Brooks-LaSure on the Higher Spending on Two Catheter Codes and the Impact on ACOs
The undersigned organizations write to request that accountable care organizations (ACOs) are held harmless from anomalous Medicare spending outside their control, such as the aberrant billing for catheters experienced in 2023.
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.
Long-term Care Hospital Prospective Payment System Proposed Rule for FY 2025
The Centers for Medicare & Medicaid Services (CMS) on April 10 issued a proposed rule for the inpatient and long-term care hospital (LTCH) prospective payment systems (PPSs) for fiscal year (FY) 2025.
Inpatient PPS Proposed Rule for FY 2025
The Centers for Medicare & Medicaid Services (CMS) April 10 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS proposed rule for fiscal year (FY) 2025.
CMS Establishes Minimum Staffing Standards for Nursing Homes
The Centers for Medicare & Medicaid Services (CMS) April 22 issued a
Skilled Nursing Facility PPS Proposed Rule for FY 2025
The Centers for Medicare & Medicaid Services (CMS) March 28
Rural Health Services
Some 61 million rural Americans depend on their hospital as an important source of care as well as a critical component of their area's economic and social fabric. Location, size, workforce, payment and access to capital challenge small or rural hospitals and the communities they serve. Collaborating with state and regional hospital associations and with advice from its member council, the Section tracks the issues, develops policies and identifies solutions to our most pressing problems.
Inpatient Rehabilitation Facility Prospective Payment System Proposed Rule for FY 2025
The Centers for Medicare & Medicaid Services (CMS) March 27 issued its fiscal year (FY) 2025 proposed rule for the inpatient rehabilitation facility (IRF) prospective payment system (PPS).