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Agencies Release No Surprises Act Independent Dispute Resolution Operations Proposed Rule
The departments of Health and Human Services, Labor and the Treasury issued Oct.
How Minnesota Hospitals Re-built Their Community After George Floyd’s Murder
The AHA has released Rebuilding a New Minneapolis: From Tragedy to Transformation, a two-part video discussing how George Floyd’s murder on May 25, 2020, has transformed diversity, equity and inclusion work in Minneapolis and its surrounding communities.
CMS Updates Enforcement Process for Hospital Price Transparency Rule
The Centers for Medicare & Medicaid Services (CMS) yesterday released updated guidance on their process for monitoring and enforcing the Hospital Price Transparency rule.
CMS Finalizes CY 2024 Medicare Advantage Rule
CMS April 5 finalized its Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for Contract Year (CY) 2024.
Texas Judge Strikes Down No Surprises Act Revised Dispute Resolution Process
A Texas judge held that the federal government’s revised independent dispute resolution process for determining payment for out-of-network services under the No Surprises Act skews the arbitration results in commercial insurers’ favor in violation of the compromise Congress reached in the Act.
CMS Issues Proposed Rule for CY 2024 Medicare Advantage, Prescription Drug Plans
The Centers for Medicare & Medicaid Services (CMS) Dec. 14 released its proposed Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for Contract Year (CY) 2024. The proposed rule would increase oversight of Medicare Advantage (MA) plans and better align them with Traditional Medicare, address access gaps in behavioral health services and further streamline prior authorization processes, supplementing a separate proposal last week.
Acclaimed Musicians Send Holiday Cheer to Front-line Caregivers and Patients
For the third consecutive year, Musicians On Call is reaching out in appreciation of hospitals and health systems and their extraordinary teams with a holiday special featuring acclaimed and award-winning artists.
CMS Delays Enforcement of the Good Faith Estimate Convening Provider Requirement
The Centers for Medicare & Medicaid Services (CMS) today released new guidance extending an enforcement delay of the uninsured/self-pay good faith estimate convening provider requirements until further rulemaking to establish a standard technology or transaction. Under the No Surprises Act, providers are required to share good faith estimates with uninsured and self-pay patients prior to any service scheduled three or more days in advance, or at the request of the patient.
Departments Issue Final Surprise Billing Regulations, FAQs
The Departments of Health and Human Services (HHS), Labor, and the Treasury (Departments) on Friday, Aug. 19, 2022 issued final regulations pertaining to several provisions of the No Surprises Act.
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.