Medicare

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 January 11, the AHA held a webinar for members on the Centers for Medicare & Medicaid Services' December. 21, final rule that includes changes to the Medicare Shared Savings Program and to the structure of payments made to accountable care organizations and other aspects of participation in鈥
AHA outside counsel Sean Marotta shares insight from yesterday鈥檚 oral arguments before the Supreme Court in a case about when the Department of Health and Human Services must give public notice and accept and respond to comments on its proposed policies.
AHA letter to MedPAC regarding payment recommendations for 2020.
We鈥檙e 11 days into 2019 鈥 we鈥檝e returned to a divided government 鈥nd the partial government shutdown continues.
Accountable care organizations interested in participating in the redesigned Medicare Shared Savings Program beginning July 1 must submit their notices of intent to apply by 12 p.m. ET on Jan. 18.
Medicare Part B suppliers may deliver the initial immunosuppressive drugs prescribed to a beneficiary after a transplant procedure to an address other than their home to ensure timely access to the medications at discharge.
Hospitals participating in the first two years of the Comprehensive Care for Joint Replacement model reduced Medicare spending for hip- and knee- replacement episodes by an average 3.1 percent more than hospitals not participating in the program, without an increase in complication rates.
Medicare and Medicaid underpaid U.S. hospitals by $76.8 billion in 2017, according to the latest data from the AHA's Annual Survey of Hospitals.
As required by a judge's ruling in a lawsuit brought by the AHA and its member hospital plaintiffs, the Department of Health and Human Services recently provided an update on its progress reducing the backlog of Medicare appeals at the Administrative Law Judge level.