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AHA comments on CMS proposals to review Medicaid, CHIP payment and access challenges
Commenting yesterday on two major proposed rules related to access, finance and quality in the Medicaid and Children’s Health Insurance Program managed care and fee-for-service delivery systems, AHA told the Centers for Medicare & Medicaid Services the wide-ranging regulations advance many important policies that will reshape the regulatory landscape for the Medicaid and CHIP programs.
MedPAC adopts payment recommendations for 2024
The Medicare Payment Advisory Commission today voted to recommend that Congress update Medicare payment rates for hospital inpatient and outpatient services by the current law amount plus 1% for 2024, and distribute an additional $2 billion to safety-net hospitals by transitioning to a safety-net index policy.
Congress urged to prevent additional PAYGO cuts to Medicare
The AHA and seven other national hospital organizations today urged congressional leaders to waive the Statutory PAYGO sequester before yearend to prevent nearly $10 billion in estimated cuts next year to hospital providers in fee-for-service Medicare.
The Current State of Hospital Finances: Fall 2022 Update
Since the onset of the COVID 19 pandemic in March 2020, our nation’s hospitals and health systems have coped with intense pressure on staff and resources. Hospitals also are facing a host of other related challenges, including workforce shortages, supply disruptions, and rising expenses. These findings underscore the broad and serious threats America’s hospitals have faced and continue to face in 2022 caring for their communities throughout unprecedented challenges.
AHA to CMS: Proposed home health payment update ‘woefully inadequate’
The Centers for Medicare & Medicaid Services’ proposed 3.3% market basket update for Medicare home health agencies in calendar year 2023 is “woefully inadequate,” especially when combined with an unprecedented 7.69% behavioral offset based on flawed assumptions, AHA told the agency today. In the letter, AHA strongly urged CMS to halt this proposed cut.
CMS reports sharp decline in health spending in 2021
U.S. spending on health care is projected to grow an estimated 4.2% in 2021, down from 9.7% in 2020, as spending due to the COVID-19 pandemic fell, the Centers for Medicare & Medicaid Services reported today.
Clinical Documentation and Physician Burden
Clinical documentation plays a critical role in providing, coordinating and paying for care.
Paying for Health Care
This page includes data that compares the cost of providing care versus what Medicare, Medicaid, and private insurance plans pay hospitals.