Medicare
The Department of Health and Human Services late June 28, issued a proposed rule that would make changes to the procedures for Administrative Law Judge (ALJ) appeals of payment and coverage determinations for items and services provided to Medicare beneficiaries, in addition to other Medicare鈥
Reducing Medicare reimbursement to critical access hospitals would have 鈥渁 significant and detrimental impact鈥 not only on these hospitals, but on their patients and communities, AHA told the Centers for Medicare & Medicaid Services today.
Medicare accountable care organizations are associated with modest reductions in spending and use of hospitals and emergency departments, according to a study published this week by JAMA Internal Medicine. The study compared changes in spending and usage for beneficiaries cared for by ACO鈥
Dear colleague letter to CMS urging waiver of regulatory barriers.
These are model comments to guide AHA members in crafting their own comments to CMS CMS-5517-P, Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Under the Physician Fee Schedule, and Criteria for Physician Focused Payment Models. All鈥
On April 27, CMS published a proposed rule implementing key provisions of the new quality payment program for physicians and other professionals mandated by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. Use AHA's model comment letter to assist you in submitting your comments.
Supreme Court issues decision in False Claims Act case.
The Centers for Medicare & Medicaid Services late today issued a proposed rule that would update and revise conditions of participation that hospitals and critical access hospitals must meet to participate in Medicare and Medicaid.