Advisory
AHA Advisories provide urgent information for AHA members and the health care field, and actions they may need to take.
On March 4, the Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) published proposed rules that would promote patient access to health information in Medicare, Medicaid, the Children鈥檚 Health Insurance Program (CHIP),鈥
In the Centers for Medicare & Medicaid Services鈥 2019 physician fee schedule final rule, the agency made an important change to the Clinical Laboratory Fee Schedule that will require many hospitals to report private payer rates for clinical laboratory services covered under the CLFS.
The AHA released new tools to help the field prepare for appropriate use criteria reporting requirements that will start to go into effect on a voluntary basis this year and become mandatory in 2021.
The Department of Veterans Affairs (VA) Feb. 22 published a proposed rule that would establish the criteria for determining when covered veterans may receive necessary hospital, medical and extended care services from non-VA entities or providers under the Veterans Community Care Program. Comments鈥
As part of the February refresh of Hospital Compare, the Centers for Medicare & Medicaid Services (CMS) plans to update its hospital overall star ratings. In addition, we expect CMS will release the performance results from the fiscal year (FY) 2019 Hospital-acquired Condition (HAC) Reduction鈥
On Dec. 27, the District Court for the District of Columbia issued an order in favor of the AHA and the other plaintiffs in the lawsuit to stop the Centers for Medicare & Medicaid Services' nearly 30 percent reduction in the reimbursement rate for 340B drugs as exceeding the statutory authority鈥
On Dec. 21, the Centers for Medicare & Medicaid Services issued its final rule on the Medicare Shared Savings program (MSSP). The rule, called 鈥淧athways to Success,鈥 finalizes changes to the MSSP, including to the structure of payments made to accountable care organizations (ACOs) and other鈥
On Jan. 1, 2019, new price transparency requirements for hospitals will go into effect.
Download the full Regulatory Advisory (PDF) below
The payment update for CY 2019 is relatively straight forward; however, the substantial re-design for CY 2020 brings a complex transformation to the field. Overall, we support the design of the new model, which shifts resources to the medically-鈥
Download the Advisory as a PDF below.
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2019. The rule also finalizes several policies to implement year three of the Quality Payment Program (鈥