HHS withdraws three proposed rules, including drug payment model

AHA News Now

The Centers for Medicare & Medicaid Services today officially withdrew its proposal to test new models for how Medicare Part B pays for prescription drugs provided in physician offices and hospital outpatient departments. AHA had expressed concerns with the proposed rule and its inclusion of hospitals,... read more

Topic: Advocacy and Public Policy
Tags: Medicare, Medicaid, regulation, HIPAA

OIG calls for expanding use of claim codes for certain replacement devices

AHA News Now

The Centers for Medicare & Medicaid Services should continue to work with national standards body X12 to include the new unique device identifier on its next version of health care claims forms, the Department of Health and Human Services’ Office of Inspector General advised yesterday. OIG also... read more

Topic: Advocacy and Public Policy
Tags: quality, Medicare, coding

CMS releases additional changes to Worksheet S-10 instructions

AHA News Now

The Centers for Medicare & Medicaid Services Friday released additional changes to the instructions for Medicare cost report Worksheet S-10, which is used in calculating Medicare disproportionate share payments to hospitals. The changes primarily clarify that discounts provided to uninsured patients who... read more

Topic: Advocacy and Public Policy
Tag: Medicare

CMS announces average Medicare Advantage, Part D premiums for 2018

AHA News Now

The Centers for Medicare & Medicaid Services Friday released premium and cost information for Medicare Advantage and Part D prescription drug plans for the 2018 calendar year. The average Medicare Advantage premium will decrease by $1.91 to $30, while the average monthly premium for a basic Medicare Part... read more

Topic: Advocacy and Public Policy
Tags: Medicare, Coverage

Wright named acting HHS secretary following Price's resignation

AHA News Now

President Trump Friday named Don Wright, M.D., acting secretary of the Department of Health and Human Services. Wright takes over for Tom Price, M.D., who resigned as HHS secretary earlier Friday. Wright has worked at HHS for nearly 10 years, most recently serving as the department’s acting assistant... read more

Topic: Advocacy and Public Policy
Tags: Medicare, Medicaid, leadership

CMS extends Medicare, federal exchange enrollment for hurricane victims

AHA News Now

The Centers for Medicare & Medicaid Services yesterday announced special enrollment periods for Medicare and the federally-facilitated health insurance exchange to help eligible individuals and families impacted by Hurricanes Harvey, Irma and Maria gain immediate access to health coverage or change their... read more

Topic: Advocacy and Public Policy
Tags: Medicare, Coverage, disaster readiness

What's Next in the Health Care Debate?

Blog

Once again, the Senate attempted to pass a proposal to repeal and replace significant parts of the Affordable Care Act. Once again, it met defeat – and we are grateful.

But this fight is not over. America’s hospitals and health systems must stay vigilant and continue to make the case to protect coverage... read more

Topic: Advocacy and Public Policy
Tags: Drug Pricing Program, Medicare, Coverage, advocacy, Medicaid, access

CMS will not update overall hospital star ratings in October

AHA News Now

The Centers for Medicare & Medicaid Services today announced it will not update its overall hospital quality star ratings on Hospital Compare in October. “CMS decided not to proceed with the October update to continue its examination of potential changes to the Star Rating methodology based on public... read more

Topic: Advocacy and Public Policy
Tags: quality, Medicare

MACs to offer online access to new Medicare beneficiary identifiers

AHA News Now

Starting next June, health care providers will be able to use their Medicare Administrative Contractor’s secure portal to look up their patients’ new Medicare Beneficiary Identifiers, according to a new Centers for Medicare & Medicaid Services factsheet. The factsheet was recently mailed to all Medicare... read more

Topic: Advocacy and Public Policy
Tags: Medicare, coding

CMS issues preliminary clinical laboratory fee schedule payment rates

AHA News Now

The Centers for Medicare & Medicaid Services has released the preliminary Medicare payment rates for clinical diagnostic laboratory tests and advanced diagnostic laboratory tests in calendar year 2018. The rates are based on a weighted median of private insurer payment rates, as required by a 2016 final... read more

Topic: Advocacy and Public Policy
Tag: Medicare

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