FY 2018 inpatient PPS proposed rule

AHA News

The Centers for Medicare & Medicaid Services on April 14 issued its hospital inpatient prospective payment system proposed rule for fiscal year 2018. The rule would increase rates by 1.6% in FY 2018 compared to FY 2017, after accounting for inflation and other adjustments required by law.

The proposed... read more

Topics: Access and Coverage, Advocacy and Public Policy
Tags: Medicare, regulation, administrative simplification

AHA dismayed over final rule on Medicaid DSH calculation

AHA News

The Centers for Medicare & Medicaid Services March 30 issued a final rule addressing how third-party payments are treated when calculating the hospital-specific limitation on Medicaid disproportionate share hospital payments.

The AHA expressed deep disappointment in the rule. “Of particular concern is... read more

Topics: Access and Coverage, Advocacy and Public Policy
Tags: Medicaid, regulation

CMS announces new confirmation process for special enrollment periods

AHA News Now

The Centers for Medicare & Medicaid Services will implement a new confirmation process in September to ensure that people who enroll in health coverage through HealthCare.gov outside of the traditional enrollment period meet the criteria for special enrollment. To ensure that consumers have access to... read more

Topic: Access and Coverage
Tags: Coverage, regulation

CMS extends CA Medicaid demonstration waiver

AHA News Now

The Centers for Medicare & Medicaid Services last week extended California's Section 1115 Medicaid demonstration waiver through 2020. Building on a 2010 waiver, the renewed waiver allows the state to extend its safety-net care pool for five years and test a new global payment system for uninsured patients... read more

Topic: Access and Coverage
Tags: Medicaid, regulation

CMS: Reinsurance-eligible health plans to receive early 2015 payment

AHA News Now

The Centers for Medicare & Medicaid Services expects in March to make an early partial payment to eligible health plans under the transitional reinsurance program for the 2015 benefit year, in part due to surplus 2014 funds. “Reinsurance funds not paid out through this early payment will be paid out in... read more

Topic: Access and Coverage
Tags: Coverage, regulation

HHS urged to finalize Medicaid equal access rule

AHA News Now

Ranking members of House and Senate committees with jurisdiction over federal health care programs yesterday urged Health and Human Services Secretary Sylvia Burwell to finalize a 2011 rule proposing a process to ensure that states reimburse Medicaid providers sufficiently under the Medicaid Act’s equal... read more

Topic: Access and Coverage
Tags: Medicaid, access, regulation

CMS finalizes 2016 Basic Health Program funding methodology

AHA News Now

The Centers for Medicare & Medicaid Services today issued a final methodology for determining federal payment amounts to states that establish a Basic Health Program for 2016. According to a CMS factsheet, the final methodology is the same as for 2015, with updated values for several factors. The... read more

Topic: Access and Coverage
Tags: Coverage, regulation

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