News

The Centers for Medicare & Medicaid Services should require health insurers to use the existing claims processing framework to create a patient’s advanced explanation of benefits to ensure the AEOB closely reflects the patient’s final bill and cost information, the AHA told the agency today.

AHA today urged the U.S. District Court for the District of Columbia to order the Department of Health and Human Services to promptly repay 340B hospitals for unlawful payment cuts in previous years, given the agency’s continued delay in implementing or even proposing a remedy on its own.

The AHA today urged the National Labor Relations Board to withdraw a notice of proposed rulemaking regarding the standard for determining joint-employer status or, consistent with the board’s historical approach, exempt hospitals from compliance.

The United States is experiencing a resurgence in non-COVID-19 respiratory viruses, with the flu hospitalization rate at this early time in the season the highest in a decade, the Centers for Disease Control and Prevention reported today. Officials said they also are tracking elevated levels of Respiratory Syncytial Virus, which usually causes mild cold-like symptoms but can be serious, especially for infants and older adults.

There are many significant milestones in our nation’s history of voting.

The AHA’s Hospitals Against Violence initiative, Jones Day and HEAL Trafficking (Health, Education, Advocacy, Linkage) today held a special convening, Forced Labor in Health Care Supply Chains: What Hospital Leaders Need to Know to provide practical information and resources to health care providers. The meeting featured experts from the departments of Health and Human Services and State and the Association for Health Care Resource & Materials Management, a first-hand account from a trafficking survivor and a case study showing how hospital systems and supply chain leaders can collaborate to address forced labor in procurement processes.

The Food and Drug Administration this week alerted health care providers to a shortage of tracheostomy tubes, used to help people breathe after a tracheotomy, including a tube made by ICU Medical for pediatric patients.

The driving mission of all hospitals and health systems, regardless of size and location, is to provide quality and compassionate care to patients and advance health in their communities, AHA President and CEO Rick Pollack states in an advertorial published today in the Wall Street Journal, noting that hospitals of all types have provided $745 billion in uncompensated care to patients since 2000.

The Department of Health and Human Services today renewed the nation’s monkeypox public health emergency declaration for another 90 days. When the PHE was announced in August, Centers for Disease Control and Prevention Director Rochelle Walensky, M.D., said the declaration would provide access to resources and flexibilities, expedite state data sharing, and provide more detailed data on testing and hospitalizations.

U.S. hospitals and health systems in September experienced their ninth consecutive month of negative operating margins, according to the report released yesterday by Kaufman Hall. Median operating margins were down 46% in September compared to a year ago, driven by declining revenues and discharges as sicker patients and labor shortages in post-acute care increased average length of stay, according to data from over 900 hospitals.

Senate Finance Committee Chairman Ron Wyden, D-Ore., today released a report confirming deceptive marketing practices by Medicare Advantage plans, which found an increase in complaints from 2020 to 2021. The report recommends the Centers for Medicare & Medicaid Services reinstate certain MA plan requirements and hold bad actors accountable; require agents and brokers to adhere to best practices; implement robust MA marketing rules; and support unbiased beneficiary information sources.

The Centers for Disease Control and Prevention today released updated guidelines for clinicians prescribing opioids to outpatients for short- or long-term pain, which replace guidelines released in 2016.

Responding this week to House members asking how Congress could improve physician payment under the Medicare Access and CHIP Reauthorization Act of 2015, the AHA encouraged statutory and regulatory efforts to advance and flexibly implement value-based and alternative payment models.

The Cybersecurity & Infrastructure Security Agency encourages OpenSSL users and administrators to upgrade to version 3.0.7 to patch two high-severity vulnerabilities that threat actors could leverage to crash or take control of a computer system.

The FDA revised its emergency use authorizations for all COVID-19 antigen tests to authorize serial testing and require updates to product labeling regarding serial testing, and designated the recall of 60,500 filters used in breathing systems a Class I recall.

AHA today released a new report and infographic showing how some commercial health insurers, including Medicare Advantage plans, can cause dangerous delays in care, undue burden on the health care workforce, and add billions of dollars in unnecessary costs to the health care system

The Centers for Medicare & Medicaid Services late today posted a final rule on its website that will increase Medicare hospital outpatient prospective payment system rates by a net 3.8% in calendar year 2023 compared to 2022. This update is based on a market basket percentage increase of 4.1%, reduced by 0.3 percentage points for productivity.

The Centers for Medicare & Medicaid Services today released on its website its calendar year 2023 final rule for the physician fee schedule. The rule will cut the conversion factor to $33.06 in CY 2023 from $34.61 in CY 2022, which reflects the expiration of the temporary 3% statutory payment increase; a 0.00% conversion factor update; and a budget-neutrality adjustment.

Commenting today on a proposed rule to streamline Medicaid and Children's Health Insurance Program eligibility and enrollment, AHA voiced support for proposals that would facilitate and promote enrollment and eliminate coverage disruptions.

The Centers for Medicare & Medicaid Services today approved through 2026 an amended Medicaid demonstration for Arkansas that adds innovative approaches to help eligible enrollees address health-related social needs, such as housing and food insecurity. The amendment will cover care coordination and other supports for individuals with high-risk pregnancies, rural residents with serious mental illness and/or substance use disorders, and young adults at risk for long-term poverty and poor health outcomes.