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Fact Sheet: Rural Hospital Support Act (S.4009) & the Assistance for Rural Community Hospitals Act (H.R.8747)
Medicare pays most acute-care hospitals under the inpatient prospective payment system (IPPS). Some of these hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume.
Fact Sheet: Hospital Price Transparency
Hospitals and health systems are committed to empowering patients with all the information they need to live their healthiest lives. This includes ensuring they have access to accurate price information when seeking care. Most hospitals use cost estimate tools to provide patient-specific price information because every course of care is unique.
No Surprises Act Implementation Handbook
The No Surprises Act established new patient protections against balance billing in certain circumstances, as well as put into place a number of other provisions that will change how providers and health plans engage with patients and each other with respect to price and coverage transparency, as well as billing. The following implementation guide is intended to help hospitals and health systems understand the new provisions in the law and corresponding regulations.
Fact Sheet: Patients Should Not Settle for Subpar Patient Protections against Surprise Medical Billing
Hospitals and health systems are deeply concerned about the effect of unanticipated medical bills on our patients, which could impact their out- of-pocket costs. Protecting patients from surprise medical bills is a top priority for the AHA and all of our members. However, we oppose legislative proposals that set a default payment rate for out-of-network services. Recently, an agreement was announced that would address surprise medical bills. While no legislative language has been provided, we understand the proposal would include a prohibition on balance billing and rely on rate setting to establish an initial payment, with an opportunity for providers to dispute the payment.
Fact Sheet: Surprise Billing Legislation
The Senate and House are both considering legislation to address surprise medical bills that patients may incur as a result of unexpected gaps in insurance coverage or medical emergencies. Below are brief summaries of the proposals under consideration. A
Fact Sheet: Surprise Medical Billing Legislation Rural Impact
AHA Ask: AHA supports protecting patients from surprise medical bills. Policymakers should focus on assisting rural hospitals in their negotiations with payers and providing the incentives and resources needed to maintain local access to care and not undermine these communities with potentially harmful national policy changes.
Surprise Medical Bills: Arbitration Fiction vs. Fact
Patients should not be balance billed for emergency services, or for services obtained in any in-network facility when the patient could reasonably have assumed that the providers caring for them were in-network with their health plan.
Fact Sheet: How Commercial Insurers Turned Ending Surprise Medical Bills into an Industry Windfall
The one issue that all stakeholders – hospitals, physicians, insurers and consumers – agree on is that
patients should not be balance billed for emergency services, or for services obtained in any in-network
facility when the patient could reasonably have assumed that the providers caring for them were in-network
with their health plan.
Fact Sheets and Talking Points on Surprise Billing Legislation
This is a collection of Fact Sheets and Talking Points documents that the AHA has released on Surprise Medical Billing Legislation.
Resources for September 10, 2019, AHA Advocacy Day Briefing
With Congress back in town and a full slate of health care issues on its agenda, AHA President and CEO Rick Pollack, Executive Vice President Tom Nickels and Senior Associate Director of Federal Relations Priscilla Ross hosted a special AHA Town Hall webcast live from the AHA’s Advocacy Day in Washington, D.C., on September 10.