Regulations and Regulatory Advocacy
The Administration recently released a final rule requiring hospitals to disclose payer-specific negotiated rates. Specifically, the Centers for Medicare & Medicaid Services’ (CMS) final rule will require hospitals to post a list of five types of standard charges – now defined as gross charges…
Today, four national organizations representing hospitals and health systems sued the federal government, challenging last month’s contract disclosure rule from the Centers for Medicare & Medicaid Services (CMS).
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 issued a final rule updating physician fee schedule (PFS) payments for calendar year (CY) 2020. The rule also includes several policies implementing year four of the quality payment program (QPP) created by the Medicare Access and CHIP…
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 released the calendar year (CY) 2020 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) payment system final rule. In addition to standard updates, the rule finishes phasing in the site-neutral rate for clinic…
The Administration today released a final rule requiring hospitals to disclose payer-specific negotiated rates, along with a proposed rule that would impose new requirements on private insurers in the individual and group markets to publicly disclose negotiated rates and out-of-network allowed…
The Administration today released a final rule requiring hospitals to disclose payer-specific negotiated rates, along with a proposed rule that would impose new requirements on private insurers in the individual and group markets to publicly disclose negotiated rates and out-of-network allowed…
Improving prior authorization practices: AHA's call for timely responses, transparent appeals process, and reducing unnecessary complexity and cost.
The ºÚÁÏÕýÄÜÁ¿ Association (AHA), Association of American Medical Colleges (AAMC), Children’s Hospital Association (CHA) and Federation of ºÚÁÏÕýÄÜÁ¿s (FAH) issued the following joint statement on today’s final rule from CMS: Today’s rule mandating the public disclosure of privately…
The Centers for Medicare & Medicaid Services Nov. 12 released a comprehensive proposed rule addressing Medicaid fiscal accountability.
The AHA, Association of American Medical Colleges and several member hospitals intend to immediately request that the U.S. District Court for the District of Columbia enforce its September ruling vacating a CMS rule reducing payments for hospital outpatient services provided in off-campus provider-…