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AHA rebukes latest RAND report on hospital pricing

The RAND Corporation May 13 released its latest hospital pricing report, which focuses on prices paid for care at the hospital and service-line level. 

Hospital Insurance Trust Fund solvent five additional years until 2036, Medicare trustees project

The Medicare Hospital Insurance Trust Fund will have sufficient funds to pay full benefits until 2036, according to the latest annual report by the Medicare Board of Trustees.

CMS opens comment period for Medicare Drug Price Negotiation Program

The Centers for Medicare & Medicaid Services May 3 announced the opening of the comment period for the Inflation Reduction Act’s Medicare Drug Price Negotiation Program, which will negotiate prices with drug makers for certain high-cost, sole-source drugs and apply them beginning in 2026. Comments are due July 2.

Agencies release new process for resubmitting IDR disputes

The departments of Health and Human Services, Labor, and the Treasury May 1 released a new process for resubmitting disputes under the No Surprises Act independent dispute resolution process that were originally improperly batched or bundled.

Coalition urges CMS to hold ACOs harmless for anomalous catheter spending

Eleven organizations representing health care providers, including the AHA, April 29 urged the Centers for Medicare & Medicaid Services not to hold accountable care organizations responsible for anomalous Medicare spending beyond their control.

Representative Guthrie discusses cybersecurity, prior authorizations and telehealth

Rep. Brett Guthrie, R-Ky., addressed attendees of AHA’s 2024 Annual Membership Meeting and touched on many of the biggest issues in health care: cybersecurity; prior authorization and denials of care; extensions for expiring telehealth provisions; and how government and hospitals can work together to find solutions to these and other problems.

CMS administrator highlights response to Change Healthcare cyberattack, prior authorization improvements

The Change Healthcare cyberattack was a significant event that caught many off guard, said the Centers for Medicare & Medicaid Services Administrator Chiquita Brooks-LaSure, reiterating the age

Maryland program for specialist physicians reports initial Medicare savings

The voluntary Episode Quality Improvement Program for specialist physicians saved Medicare $20 million in its first year, the Maryland Health Services Cost Review Commission

AHA comments on proposed rule for accrediting organizations

Commenting April 12 on a proposed rule to strengthen oversight of accrediting organizations, AHA told the Centers for Medicare & Medicaid Services it supports requiring accrediting organizations to use Medicare’s Conditions of Participation and Conditions for Coverage as their minimum accreditation standards, and to provide an explicit crosswalk of their standards with relevant Medicare regulations.

OIG recommends Medicare improve rate setting for clinical diagnostic tests for future public health emergencies

For future public health emergencies, the Centers for Medicare & Medicaid Services should improve how it sets Medicare rates for clinical diagnostic laboratory tests under the Clinical Laboratory Fee Schedule and communicates with stakeholders involved in setting the rates, the Department of Health and Human Services’ Office of Inspector General advised last week.