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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.
Study finds social factors explain poorer cardiovascular health in rural areas
A study published March 31 by the Nationa
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.
OIG says MA, Medicaid managed care plans have limited, inaccurate behavioral health provider networks
A report by the Department of Health and Human Services Office of the Inspector General found that many Medicare Advantage and Medicaid managed care plans offer access to a limited proportion of behavioral health providers, and inaccurately list 72% of in-network behavioral health care providers as being available.
AHA participates in fourth annual Sanford Rural Health Summit
AHA leaders today participated in Sanford Health's fourth annual Summit on the Future of Rural Health Care in Sioux Fa