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Another Major Federal Price Transparency Requirement Went into Effect
Another major federal price transparency requirement went into effect July 1, 2022. There are three major federal price tra
Health Insurer Price Transparency Rule That Takes Effect July 1 Could Spotlight Media Attention on Hospitals
The transparency in coverage rule takes effect July 1, imposing new transparency requirements on most group health plans and issuers of health insurance coverage in the individual and group markets. Beginning next month most health plans must disclose publicly in machine-readable files all in-network negotiated rates and out-of-network allowed amounts. Tech disruptors and hospital critics have signaled their intention to make immediate use of the data to promote through the media their existing advocacy around provider pricing.
AHA Comment Letter to CMS on the Provider Complaints Submission Process under the No Surprises Act
AHA comments on the forms providers may use to file complaints with the Centers for Medicare & Medicaid Services (CMS) regarding implementation of the No Surprises Act.
Updates and Implications of IT and Price Transparency Policies Webinar
The AHA hosted a members-only webinar during which its staff, along with representa
Letter to CMS Administration on Implementation of No Surprises Act
The American Hospital Association appreciates the opportunity to work with the Centers for Medicare & Medicaid Services (CMS) on implementation of the No Surprises Act.
AHA to CMS Re: Inpatient Rehabilitation Facility PPS for FY 2023 and Updates to the IRF Quality Reporting Program
AHA letter to the Centers for Medicare & Medicaid Services regarding the FY 2023 IRF prospective payment system (PPS) proposed rule.
RAND Expected to Release Hospital Pricing Study This Week
On Thursday, May 5, we expect the RAND Corporation to release the fourth version of its National Hospital Price Transparency Study, an employer-led initiative intended to measure and report publicly the prices paid for care at the hospital and service-line level. The AHA is taking a number of steps to ensure the hospital and health system perspective is represented in response to the report.
Release 2022.4 Create Landing Page Test
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AHA Summary of Hospital Inpatient PPS Proposed Rule for Fiscal Year 2023
The Centers for Medicare & Medicaid Services (CMS) April 18 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS proposed rule for fiscal year (FY) 2023.
No Surprises Act Independent Dispute Resolution Process Portal Opens
The Departments of Health, Treasury and Labor (collectively, “the departments”) today opened the federal Independent Dispute Resolut