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AHA, others urge CMS to ensure ACOs, MIPS-eligible clinicians are protected from increased skin substitute spending
A coalition of organizations, including the AHA, urged the Centers for Medicare & Medicaid Services to ensure accountable care organizations and Merit-based Incentive Payment System-eligible clinicians are held harmless from increased billing for skin substitutes.
Introduction of POHs Could Lead to Reduced Overall and Medicare Margins for Existing Rural Community Hospitals
Our analysis shows that the introduction of a POH could negatively impact the financial health of existing SCHs by siphoning profitable service types and reducing their proportion of healthier, commercially insured patients.
New Study: Physician-owned Hospitals Threaten Patient Access and Financial Viability of Full-service Sole Community Hospitals
Results from a new Dobson | DaVanzo study further support retaining the ban on new Physician-Owned Hospitals (POHs) and explain the damage of expanding POHs in rural communities.
New Study Demonstrates How Physician-owned Hospitals Threaten Patient Care in Rural Communities
Today the Federation of American Hospitals and the American Hospital Association released a new study conducted by Dobson | DaVanzo that underscores the threat to patient care of expanding physician-owned hospitals (POHs) in rural communities.
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.
CMS issues CY 2026 physician fee schedule final rule
The Centers for Medicare & Medicaid Services Oct. 31 released its calendar year 2026 final rule for the physician fee schedule.
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.
AHA Comments to CMS on CY 2026 Physician Fee Schedule Proposed Rule
RE: CMS–1832–P Medicare and Medicaid Programs; Calendar Year 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program
CMS Issues CY 2026 Physician Fee Schedule Proposed Rule
CMS July 14 issued a proposed rule that would update physician fee schedule (PFS) payments for calendar year (CY) 2026.