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Member

CMS Issues Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2026

The Centers for Medicare & Medicaid Services Nov. 21 released its calendar year 2026 outpatient prospective payment system and ambulatory surgical center final rule. The rule increases OPPS rates by a net 2.6% in CY 2026 compared to CY 2025.
Outpatient Prospective Payment Systems (OPPS), Ambulatory Surgical Center (ASC)
Member

CMS Issues Proposed Rule for CY 2027 Medicare Advantage, Prescription Drug Plans

The Centers for Medicare & Medicaid Services (CMS) Nov. 28 released its proposed Policy and Technical Changes to the Medicare Advantage (MA) Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program and Programs of All-Inclusive Care for the Elderly for Contract Year (CY) 2027.
Medicare Advantage, Drug Prices, Prescription Drugs
Member

CMS Releases CY 2026 Home Health PPS Final Rule

The home health prospective payment system final rule for calendar year 2026 will reduce payments by 1.3%, or $220 million relative to CY 2025, according to the Centers for Medicare & Medicaid Services.
Home Health PPS, Long-term Care, Post-Acute Care
Member

Aetna Delays, Issues Additional Details on ‘Level of Severity Inpatient Payment’ Policy

The Centers for Medicare & Medicaid Services (CMS) Oct. 31 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2026.
Inpatient Prospective Payment Systems (IPPS)
Member

CMS Issues CY 2026 Physician Fee Schedule Final Rule

The Centers for Medicare & Medicaid Services (CMS) Oct. 31 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2026.
Physician Fee Schedule (PFS)/MACRA/QPP, Outpatient Prospective Payment Systems (OPPS), Telehealth, Medicare, Ambulatory and Outpatient Care, Behavioral Health Care Delivery, Medicare, Merit-based Incentive Payment System (MIPS), Interoperability, Medicare Physician Payment
Member

UPDATED: Implications for Hospitals and Health Systems During a Government Shutdown

Over the past 15 days, the Senate has voted nine times on the House-passed continuing resolution (CR) to extend government funding and health care waivers until Nov. 21.
Legislation and Legislative Advocacy, Advocacy Alliances, Medicaid DSH, Telehealth, Rural issues
Member

UPDATED: Implications for Hospitals and Health Systems During a Government Shutdown

Government funding and certain health care programs and waivers expired at midnight Sept. 30 as congressional leaders were unable to reach an agreement to keep the government funded.
Legislation and Legislative Advocacy, Advocacy & Public Policy, Medicaid DSH, Telehealth, Rural issues
Public

AHA, Microsoft Extend Rural Health Resiliency Offerings

As part of the AHA’s long-standing commitment to helping hospitals and health systems defend against and deflect cyberattacks, the AHA and Microsoft announced this week several new and updated offerings as part of the Rural Health Resiliency program.
Cybersecurity, Rural issues
Member

UPDATED: Implications for Hospitals and Health Systems as Government Shutdown Looms

Advisory revised Sept 28. with fiscal year 2026 agency contingency plans. Government funding is set to expire at midnight Sept. 30 without congressional action.
Advocacy & Public Policy, Legislation and Legislative Advocacy, Hospital at Home, Medicaid DSH, Rural issues, Workforce
Member

Implications for Hospitals and Health Systems as Government Shutdown Looms

Government funding is set to expire at midnight Sept. 30 without congressional action.
Advocacy & Public Policy, Legislation and Legislative Advocacy, Hospital at Home, Medicaid DSH, Rural issues, Workforce