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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.
Fact Sheet: Rural Hospital Support Act (S.4009) & the Assistance for Rural Community Hospitals Act (H.R.8747)
Medicare pays most acute-care hospitals under the inpatient prospective payment system (IPPS). Some of these hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume.
Fact Sheet: The 340B Drug Pricing Program
Learn what the HHS 340B Drug Pricing Program is and what 340B hospitals are. The program allows 340B hospitals to stretch limited federal resources to reduce the price of outpatient pharmaceuticals for patients by providing 340B drug pricing discounts and expand health services to the patients and communities they serve.
Estimated Impact Analysis of Site-neutral Provisions in the Lower Costs, More Transparency Act (H.R. 5378)
NEW: National and State Impacts of Site-neutral Provisions in the Lower Costs, More Transparency Act (H.R. 5378
Medicare Site-neutral Legislative Proposals Under Consideration Would Jeopardize Access to Care for Patients and Communities
Congress is considering several bills that would impose additional site-neutral payment reductions for services provided in hospital outpatient departments (HOPDs). A description of these bills, AHA’s take on the proposals and the potential impact these proposals would have on Medicare reimbursement to hospitals and health systems follow.
Fact Sheet: Physician Self-referral to Physician-owned Hospitals
Some members of Congress propose weakening significantly Medicare’s prohibition on physician self-referral to new physician-owned hospitals and loosening restrictions on the growth of grandfathere
Fact Sheet: Physician Self-referral to Physician-owned Hospitals
Some members of Congress continue to propose weakening Medicare’s prohibition on physician self-referral to new physician-owned hospitals and loosening restrictions on the growth of grandfathered hospitals. The Patient Access to Higher Quality Health Care Act of 2023 (H.R. 977/S.470), would allow problematic physician-owned hospitals to open and permit unfettered growth in existing physician-owned hospitals.
Fact Sheet: Sen. Sanders Bill Would Reduce Funding for Patient Care, Add Burden on Health Care Providers
The AHA strongly opposes policies to decrease hospital reimbursements by eliminating “facility fees,” which are the direct and indirect costs that allow a hospital to continue to provide services to patients and serve the needs of their community.
Report: Examining the Real Factors Driving Physician Practice Acquisition
Policymakers and others have expressed growing concern about the trend of physician practices becoming affiliated with hospitals and health systems.
Fact Sheet: Medicare Site-neutral Legislative Proposals Would Jeopardize Access to Care
Congress is considering several bills that would impose additional site-neutral payment reductions to services provided in hospital outpatient departments (HOPDs).