News
AHA comments on proposed changes to Medicare Advantage, Part D data reporting requirements | AHA News
2+ hour, 16+ min ago (148+ words) AHA comments on proposed changes to Medicare Advantage, Part D data reporting requirements'American Hospital Association The AHA today submitted comments on the Centers for Medicare & Medicaid Services" proposed revisions to Medicare Advantage and Part D reporting requirements for contract year…...
White House announces MFN agreement with drug manufacturer Regeneron | AHA News
1+ week, 4+ day ago (91+ words) White House announces MFN agreement with drug manufacturer Regeneron'American Hospital Association The administration Apri 23 reached a most-favored-nation drug pricing agreement with Regeneron, the maker of the popular cholesterol medicine Praluent. This is the 17th such agreement by a drug manufacturer with…...
United Health to expand rural payment acceleration pilot program | AHA News
2+ week, 1+ hour ago (118+ words) United Health to expand rural payment acceleration pilot program'American Hospital Association United Health Group announced plans to expand its Rural Payment Acceleration Pilot to reduce Medicare Advantage payment processing times for rural hospitals to less than 15 days, on average. The…...
CMS" Chris Klomp, Stephanie Carlton talk affordability, prior authorization, drug pricing | AHA News
2+ week, 3+ hour ago (272+ words) CMS" Chris Klomp, Stephanie Carlton talk affordability, prior authorization, drug pricing'American Hospital Association CMS Deputy Administrator and Director of Medicare Chris Klomp and Deputy Administrator and Chief of Staff Stephanie Carlton talked with AHA Board Chair Marc Boom, M. D. , president and…...
Study examines how patient cost-sharing liability affects hospital finances | AHA News
2+ week, 6+ day ago (138+ words) Study examines how patient cost-sharing liability affects hospital finances'American Hospital Association A Health Affairs report published April 6 examined how changes in patient cost-sharing liability can impact hospital finances. The study found that the combined inpatient and outpatient mean allowed amount…...
CMS proposes 2. 4% payment update for SNFs | AHA News
1+ mon, 3+ day ago (311+ words) CMS proposes 2. 4% payment update for SNFs'American Hospital Association The Centers for Medicare & Medicaid Services April 2 issued a proposed rule for the skilled nursing facility prospective payment system for fiscal year 2027. The proposal would increase aggregate payments by 2. 4%, which reflects a…...
Med PAC urged by AHA to scrutinize MA impacts on hospital and post-acute provider finances | AHA News
3+ week, 4+ day ago (130+ words) Med PAC urged by AHA to scrutinize MA impacts on hospital and post-acute provider finances'American Hospital Association The Medicare Payment Advisory Commission met April 9 and 10 to discuss several topics, including the relationship between Medicare Advantage enrollment and hospital and post-acute…...
CMS releases guidance on limits to Medicaid, CHIP funding for certain noncitizens | AHA News
3+ week, 6+ day ago (213+ words) CMS releases guidance on limits to Medicaid, CHIP funding for certain noncitizens'American Hospital Association The Centers for Medicare and Medicaid Services April 8 issued guidance on implementing a provision within the reconciliation bill passed in July 2025 regarding federal matching funds for…...
CMS finalizes Medicare Advantage rates for CY 2027 | AHA News
4+ week, 1+ day ago (418+ words) CMS finalizes Medicare Advantage rates for CY 2027 American Hospital Association The Centers for Medicare & Medicaid Services April 6 released the Medicare Advantage and Part D Rate Announcement for calendar year 2027. The rate announcement finalized a net average year-over-year increase of 2. 48% in…...
CMS seeks applicants for LEAD ACO Model | AHA News
1+ mon, 3+ day ago (92+ words) CMS seeks applicants for LEAD ACO Model'aha. org The Centers for Medicare & Medicaid Services March 31 released a request for applications for its new accountable care organization model, the Long-term Enhanced ACO Design Model, or LEAD. The model is designed to…...