Search Results

The default setting for search results displays All Content. If you prefer to see recent content only, please adjust the date filter.

Filter your results:

Types

Topics

89 Results Found

Fact Sheet: Underpayment by Medicare and Medicaid

Each year, the American Hospital Association (AHA) collects aggregate information on the payments and costs associated with care delivered to beneficiaries of Medicare and Medicaid by U.S. hospitals.
Uncompensated Care, Medicare, Medicaid, Hospital Data, Statistics
Public

Fact Sheet: AHA Urges Congress to Call on CMS to Stop Cuts to Hospitals

America’s hospitals and health systems continue to face unprecedented financial pressures due to the ongoing effects of the COVID-19 pandemic and current inflationary economy. Historic inflation has extended and heightened the already severe economic instability brought on by the pandemic resulting in razor thin operating margins from massive surges in input costs, including a struggling workforce, drug costs, supplies and equipment.
Inpatient Prospective Payment Systems (IPPS), Medicare, Novel Coronavirus (SARS-CoV-2/COVID-19), Finance & Budgeting

Fact Sheet: Statutory PAYGO Sequester Relief Needed for Health Providers

The Statutory Pay-As-You-Go Act of 2010 (Statutory PAYGO) requires, among other things, that mandatory spending and revenue legislation not increase the federal budget deficit over a 5- or 10-year period.
Advocacy & Public Policy, Medicare Sequestration Payment Reductions

Fact Sheet: Medicare Sequester Relief Extension Needed for Health Providers

AHA highlights the need to suspend Medicare sequester cuts for healthcare providers in this fact sheet on Medicare sequestration relief extension.
Medicare Sequestration Payment Reductions, Advocacy & Public Policy

Select Financial, Operating and Patient Characteristics of POHs Compared to Non-POHs Fact Sheet

Dobson | DaVanzo recently examined select operating, financial and patient characteristics of hospitals in categories defined by hospital ownership.1 This fact sheet provides descriptive statistics for physician owned hospitals (POHs) compared to non-physician owned hospitals.
Physician Self-Referral Law/Stark law, Medicare, Medicaid
Public

Fact Sheet: Majority of Hospital Payments Dependent on Medicare or Medicaid

It is broadly acknowledged that Medicare reimburses hospitals less than the cost of providing care and their reimbursement rates are non-negotiable.
Medicare, Medicaid, Reimbursement
Public

Fact Sheet: Hospital Outpatient Department Billing Requirements

Congress is considering legislation that would change current billing practices for Medicare and the commercial insurance market to require each off-campus hospital outpatient department (HOPD) to be assigned a unique NPI as a condition of payment.
Outpatient Prospective Payment Systems (OPPS), Medicare, Billing & Collections, Commercial Insurer Accountability

Fact Sheet: Improving Access to Care for Medicare Advantage Beneficiaries

Congressional action is needed to ensure greater oversight of MA plans as these rules are implemented and to enable CMS to enforce existing regulations designed to protect beneficiary access to medically necessary services.
Medicare Advantage, Access & Health Coverage, Medicare
Member

CMS Proposes Updates to Conditions of Coverage for Organ Procurement Organizations

The Centers for Medicare & Medicaid Services (CMS) Jan. 28 issued a proposed rule that would update the Medicare Conditions for Coverage for Organ Procurement Organizations (OPOs).
Organ and Tissue Donation, Procurement, Medicare
Public

AHA Submits Comments on CMS Proposed Rule on Prohibiting 'Sex-Rejecting Procedures' for Children

The AHA today submitted a comment letter responding to the Centers for Medicare & Medicaid Services’ proposed rule that would prohibit hospitals participating in the Medicare and Medicaid programs from performing “sex-rejecting procedures” on individuals under 18 years of age.
Conditions of Participation, Medicare, Medicaid