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ACT NOW: House Could Vote Next Week on Bill that Would Cut Billions to Hospitals and Jeopardize Access to Care
The House of Representatives as soon as next week could consider the Lower Costs, More Transparency Act (H.R. 5378), a bill that includes site-neutral payment cuts and detrimental provisions focused on hospital price transparency, among other issues.
House passes bill with AHA-opposed site-neutral payment cut
The House Dec. 11 voted 320-71 to pass legislation (H.R. 5378) that would delay a Jan. 19 payment reduction to Medicaid disproportionate share hospitals for two years, but permanently reduce Medicare payments for drug administration services in off-campus hospital outpatient departments.
AHA recommends certain changes to inpatient PPS rule, including DSH provisions
The AHA supports a number of provisions in the inpatient prospective payment system proposed rule for fiscal year 2018, but has concerns about certain proposed changes related to disproportionate share hospital payments, the documentation and coding reduction, and quality programs, AHA Executive Vice President Tom Nickels told the Centers for Medicare & Medicaid Services in comments submitted today.
AHA urges Congress to oppose H.R. 5378 unless site-neutral cuts eliminated
The AHA today urged members of the House of Representatives to oppose H.R. 5378, legislation scheduled to be voted on tonight, unless site-neutral provisions are removed from the bill.
AHA Statement on The Lower Costs, More Transparency Act
While the AHA appreciates inclusion of a two-year delay on DSH cuts, we have been very clear regarding the harm that would be done to our nation’s hospitals if so-called site-neutral cuts to Medicare were adopted. We have strongly urged that those cuts be eliminated from this legislation.
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
Home Health PPS
The Balanced Budget Act of 1997, as amended by the Omnibus Consolidated and Emergency Supplemental Appropriations Act (OCESAA) of 1999, called for the development and implementation of a prospective payment system (PPS) for Medicare home health services. The BBA put in place the interim payment system (IPS) until the PPS could be implemented.
CMS urged to correct 2024 outpatient payment rate for hyperbaric oxygen therapy
AHA Dec. 6 expressed concern that the outpatient prospective payment system final rule for calendar year 2024 contains an error that reduces reimbursement for hyperbaric oxygen therapy by over 40%, and urged the Centers for Medicare & Medicaid Services to issue a correction establishing an accurate payment before Jan. 1.
AHA Comment Letter on Hyberbaric Oxygen Therapy Rate in CMS' OPPS CY 2024 Final Rule
AHA letter expressing concern about a reduction of over 40% in reimbursement for hyperbaric oxygen therapy (HBOT) that was published in the Centers for Medicare & Medicaid Services’ (CMS) hospital outpatient prospective payment system (OPPS) final rule for calendar year (CY) 2024.
Home Health Prospective Payment System Final Rule for CY 2024
The Centers for Medicare & Medicaid Services (CMS) on Nov. 1 issued its calendar year (CY) 2024 final rule for the home health (HH) prospective payment system (PPS). New policies will generally be effective Jan. 1, 2024.