CMS issues final outpatient PPS rule

AHA News

The Centers for Medicare & Medicaid Services Nov. 1 announced it will update the hospital outpatient prospective payment system rates by 1.35% in calendar year 2018 compared to CY 2017. The rule also finalizes CMS’s proposal to drastically cut Medicare payment for drugs that are acquired under the 340B... read more

Topic: Advocacy and Public Policy
Tags: 340B, Drug Pricing Program, Medicare, regulation, home health

AHA study: Rising regulatory burden forces caregivers to push paper rather than treating patients

AHA News

Hospitals, health systems and post-acute care providers spend nearly $39 billion a year on administrative activities related to regulatory compliance, according to a study released yesterday by the AHA.

The average-sized hospital spends $7.6 million annually to comply with federal regulations, equal to... read more

Topic: Advocacy and Public Policy
Tags: regulation, administrative simplification

AHA to CMS: Withdraw proposed 340B cut

AHA News

The Centers for Medicare & Medicaid Services (CMS) should withdraw its proposal to reduce Medicare Part B payment for drugs acquired through the 340B Drug Pricing Program, AHA yesterday told the agency in comments on its outpatient prospective payment system proposed rule for calendar year 2018.

“CMS... read more

Topic: Advocacy and Public Policy
Tags: 340B, Medicare, regulation, administrative simplification

Final inpatient, long-term care hospital PPS rules released

AHA News

CMS releases FY 2018 inpatient PPS final rule

The Centers for Medicare & Medicaid Services yesterday issued final fiscal year 2018 rules for the hospital inpatient prospective payment system and long-term care hospital PPS.

The inpatient PPS final rule will increase rates by... read more

Topic: Advocacy and Public Policy
Tags: Medicare, regulation

CMS issues final IRF, SNF rules

AHA News

The Centers for Medicare & Medicaid Services yesterday issued final rules for inpatient rehabilitation facilities and skilled nursing facilities for fiscal year 2018.

In accordance with the 2015 Medicare Access and CHIP Reauthorization Act, payment rates for both settings will see a 1% update over FY... read more

Topic: Advocacy and Public Policy
Tag: regulation

CMS releases 2018 outpatient PPS and physician payment proposed rules

AHA News

The AHA July 13 criticized proposed deep cuts to how much the Centers for Medicare & Medicaid Services reimburses hospitals for drugs acquired under the 340B Drug Pricing Program and proposes changes to site-neutral payment policies under Section 603 of the 2015 Bipartisan Budget Act. The provisions are... read more

Topics: Quality and Patient Safety, Advocacy and Public Policy
Tags: 340B, site neutral payment, Drug Pricing Program, Medicare, regulation

AHA urges CMS to re-evaluate 'arbitrary access restrictions' for IRF patients

AHA News

 

The AHA yesterday urged the Centers for Medicare & Medicaid Services to address problems with the "60% Rule" for inpatient rehabilitation facilities, especially the policy's "arbitrary access restrictions" for patients with diagnoses outside of the 13 qualifying... read more

Topic: Advocacy and Public Policy
Tags: Medicare, regulation, care coordination

CMS releases MACRA proposed rule

AHA News

The AHA yesterday said the Centers for Medicare & Medicaid Services’ proposed rule for the 2015 Medicare Access and CHIP Reauthorization Act – or MACRA – continues the “incremental, flexible implementation approach called for by hospitals, health systems and the more than 500,000 employed and contracted... read more

Topic: Advocacy and Public Policy
Tags: physician issues, physicians, value-based purchasing, Medicare, regulation, care coordination

AHA seeks DSH and other changes to inpatient PPS rule

AHA News

The AHA supports  a number of provisions in the inpatient prospective payment system proposed rule for fiscal year 2018, but has concerns about certain proposed changes related to disproportionate share hospital payments, the documentation and coding reduction, and quality programs, AHA Executive Vice... read more

Topic: Advocacy and Public Policy
Tag: regulation

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

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