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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.
The Effects of Medicare Advantage on Rural Hospitals With St. Bernards Healthcare
Half of all Medicare beneficiaries get their benefits through Medicare Advantage (MA) plans, which are offered by private companies and in theory should provide the same level of coverage of traditional Medicare.
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.
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.
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.
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.
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