Site-Neutral Payment Proposals
The Centers for Medicare & Medicaid Services today proposed to update hospital outpatient prospective payment system rates by 1.25% in calendar year 2019 compared to CY 2018.
Please see the AHA Special Bulletin for a summary of the rule, including key takeaways for hospital and health system leaders, as well as AHA鈥檚 reaction.
The Centers for Medicare & Medicaid Services today proposed to update physician fee schedule rates by 0.25% in calendar year 2019.
The AHA supports several of the proposed rule鈥檚 provisions. In particular, we appreciate and endorse the agency鈥檚 proposal to permanently withdraw the 25% Rule; however, we have substantial concerns with the associated budget neutrality adjustment proposed by CMS. We also support the proposed鈥
Medicare pays long-term care hospitals less than half the cost of care for site-neutral cases under the LTCH prospective payment system, AHA told the Centers for Medicare & Medicaid Services Friday.
Medicare pays long-term care hospitals less than half the cost of care for site-neutral cases under the LTCH prospective payment system, AHA told CMS.
A recent opinion piece in The Hill 鈥済ives readers a one-sided, misleading and misinformed view on the issue of site-neutral payment proposals and consolidation in the health field.鈥
Americans rely heavily on hospitals to provide 24/7 access to care for all types of patients, to serve as a safety net provider for vulnerable populations, and to have the resources needed to respond to disasters. These roles are not explicitly funded; instead they are built into a hospital鈥檚鈥
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 released its calendar year (CY) 2025 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule. The rule increases OPPS rates by a net 2.9% in CY 2025 compared to CY 2024.
The AHA today urged the Centers for Medicare & Medicaid Services to direct Medicare Administrative Contractors to quickly review hospital applications for the mid-build exception to Section 603 of the Bipartisan Budget Act of 2015, and notify hospitals whether they have been granted the鈥