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Analysis: Hospitals and Health Systems Are Critical to Preserving Access to Care for Rural Communities
Hospitals and health systems play critical roles in preserving access to care for patients in rural America.
Infographic: Medicare Significantly Underpays Hospitals for Cost of Patient Care
While Medicare has historically reimbursed hospitals below the cost of providing care to patients, new data shows that Medicare payment levels hit record lows in 2022.
White Paper: Medicare’s LTCH Outlier Policy Needs Reforms to Protect Extremely Ill Beneficiaries
Long-term care hospitals (LTCHs) play an important role for Medicare beneficiaries by caring for complex patients who
require extended hospitalization.
Proposed Funding Cuts to Telehealth Will Reduce Access to Care for Patients Infographic
The Bipartisan Primary Care and Health Workforce Expansion Act (S. 2840) would cut hospital reimbursements by eliminating facility fees for telehealth services. The expansion of telehealth over the past few years has transformed health care delivery, improved access for millions of Americans, and increased convenience for patients.
2024 NPRM OPPS Lookup
Lookup Tool: The third spreadsheet is an OPPS APC/HCPCS lookup tool that allows the user to pull-up basic descriptive and payment information for a code.
2024 NPRM Addendum A Compared to July 2023
The Addendum A spreadsheet compares relative weights and payment rates at the APC level, using the 2024 proposed rule Addendum A compared to 2023 Addendum A (July 1, 2023 file), as downloaded from the CMS website.
2024 NPRM Addendum B Compared to July 2023
The Addendum B Spreadsheet compares relative weights and payment rates at the HCPCS level, using proposed rule Addendum B compared to 2023 Addendum B (July 1, 2023 file).
Proposals to Reduce Medicare Payments Would Jeopardize Access to Essential Care and Services for Patients
This report provides key evidence as to why site-neutral payment policies are misguided, highlighting the substantial negative impact these policies and new legislative proposals would have on access to the care that the nation’s hospitals and health systems provide.
Setting the Record Straight: Private Equity and Health Insurers Acquire More Physicians than Hospitals Infographic
Private equity, physician groups and health insurers have acquired the vast majority of physician practices during the last five years. Percentage of acquired physicians by type, 2019-2023. Private equity: 65%; Physician Medical Groups: 14%; Health Insurers: 11%; Hospitals and Health Systems: 6%; Other Services: 4%.
Site-neutral Payment Policies Threaten Access to Hospital-level Care Infographic
Americans depend on hospitals providing 24/7 access to care. Hospitals serve all patients, regardless of ability to pay. Hospitals serve as a safety net for vulnerable populations. Hospitals must have the resources to respond to local disasters. Medicare fails to pay its fair share of these costs. Medicare reimburses hospitals only 84 cents for every dollar hospitals spend providing care to Medicare beneficiaries.