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Celebrate National Rural Health Day in November with AHA toolkit 

The AHA has released a social media toolkit in advance of National Rural Health Day Nov. 20 that includes advocacy-focused posts for hospitals and health systems to share on their social media channels throughout the week.

Senate HELP Committee holds hearing on growth, impact of 340B

The Senate Committee on Health, Education, Labor and Pensions Oct. 23 held a hearing discussing the 340B program and its growth and impacts on patients.

AHA shares concerns, recommendations with CMS on WISeR model

The AHA Oct. 23 recommended changes to the Centers for Medicare & Medicaid Services’ Wasteful and Inappropriate Services Reduction model to address multiple concerns.
Member

Perspective: Supporting Our Rural Hospitals and Communities

In Bellingham, Wash., the PeaceHealth clinic is using community health workers, or promotoras, to help educate farmworkers in rural communities about the importance of getting the COVID-19 vaccine. 

Chair File: Advancing Health and Quality Care in Rural Communities

For the 61 million people who live in rural America, their local hospital provides essential services and programs to advance their health and the health of their communities.

CMS releases AHEAD model financial specifications, fact sheet

The Centers for Medicare & Medicaid Services has released financial specifications for the hospital global budget methodology for Medicare fee-for-service patients under the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) model, and a fact sheet explaining how the model interacts with other CMS payment models.

CMS proposes increasing payment rates by 2.6% in CY 2025 

The Centers for Medicare & Medicaid Services July 10 issued a proposed rule that would increase Medicare hospital outpatient prospective payment system rates by a net 2.6% in calendar year 2025 compared to 2024. This includes a proposed 3.0% market basket update, offset by a 0.4 percentage point cut for productivity. 

CMS releases guide on prior authorization submissions, determinations under WISeR model  

The Centers for Medicare & Medicaid Services has released an operational guide for Medicare-enrolled providers and suppliers on the Wasteful and Inappropriate Service Reduction model.

CMS lifts claims hold on PFS, other claims amid government shutdown

The Centers for Medicare & Medicaid Services Oct. 21 announced that it has instructed all Medicare Administrative Contractors to lift a hold and begin processing claims dated Oct. 1 and later for those paid under the Medicare Physician Fee Schedule, ground ambulance transport claims and federally qualified health center claims.