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AHA, FAH Request Comment Period Extension for Proposed Mandatory Bundled Payment Model
The AHA and FAH comments on the Transforming Episode Accountability Model (TEAM) proposals in the Centers for Medicare & Medicaid Services’ (CMS) inpatient prospective payment system (PPS) proposed rule for fiscal year (FY) 2025.
AHA Letter of Support for the Telehealth Modernization Act (H.R. 7623)
The AHA voices support of the Telehealth Modernization Act (H.R. 7623).
AHA Letter of Support for the Affordable Connectivity Program Extension Act of 2024
The AHA voices support of the Affordable Connectivity Program Extension Act of 2024 (S. 3565).
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.
AHA Responds to Senate RFI on the SUSTAIN 340B Act Draft
AHA welcomes the opportunity to provide feedback on the Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of (SUSTAIN) 340B Act bipartisan discussion draft and accompanying request for information on the critically important 340B Drug Pricing Program.
Protecting Critically Ill Medicare Beneficiaries Through Reforms to the Long-term Care Hospital PPS High-Cost Outlier Policy
AHA recommendations to CMS regarding protecting critically ill Medicare beneficiaries through reforms to the Long-term Care Hospital PPS High-Cost Outlier Policy.
AHA Urges CMS to Swiftly Correct Medicare Advantage Plan Policies That Appear to Violate CY 2024 Rule
The American Hospital Association is deeply concerned that these practices will result in the maintenance of the status quo where MAOs apply their own coverage criteria that is more restrictive than Traditional Medicare proliferating the very behavior that CMS sought to address in the final rule, resulting in inappropriate denials of medically necessary care and disparities in coverage between beneficiaries in MA and those in the Traditional Medicare program.
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.
AHA Comments on CMS’Medicare Appeals Rights for Patient Status Changes Proposed Rule
AHA Comments on CMS’Medicare Appeals Rights for Patient Status Changes Proposed Rule.