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Supreme Court sides with HHS in Medicare DSH formula case
The Supreme Court April 29 ruled 7-2 in favor of the Department of Health and Human Services in a case that challenged how HHS applied Congress’ formula for calculating Medicare Disproportionate Share Hospital payments.
Updated Medicare Advantage Question and Complaint Process for Provider Organizations
CMS has released an updated complaint form with instructions for Medicare providers seeking assistance from the Centers for Medicare & Medicaid Services (CMS) in resolving Medicare Advantage (MA) claims issues.
AHA Supports House Securing Access to Care for Seniors in Critical Condition Act
April 15, 2025The Honorable Kevin HernU.S. House of Representatives171 Cannon House Office BuildingWashington, DC 20515
The Growing Impact of Medicare Advantage on Rural Hospitals Across America
Rural hospitals play a vital role in the health and economic stability of their communities, serving as lifelines for care and major local employers.
CMS Issues Rate Announcement and Final Rule for CY 2026 Medicare Advantage, Prescription Drug Plans
The Centers for Medicare & Medicaid Services (CMS) earlier this month released its rate announcement and final rule on Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly for contract year (CY) 2026.
CMS finalizes CY 2026 Medicare Advantage, Part D rates
The Centers for Medicare & Medicaid Services April 7 released finalized payment rates for calendar year 2026 Medicare Advantage and Part D plans.
CMS releases final rule for 2026 Medicare Advantage, prescription drug plans
The Centers for Medicare & Medicaid Services April 4 finalized changes to the Medicare Advantage and prescription drug programs for contract year 2026.
AHA calls on MedPAC to act on physician fee schedule payments following recommendations
The AHA today urged the Medicare Payment Advisory Commission to take specific actions on physician fee schedule payments following recommendations the commission made during its March meeting.
Infographic: Medicare Significantly Underpays Hospitals for Cost of Patient Care
While Medicare has historically reimbursed hospitals below the cost of providing care to patients, new data shows that Medicare payment levels hit record lows in 2022.
Chair File: Leadership Dialogue — Importance of Advocacy and Storytelling in Rural Health with Lori Wightman, R.N., CEO of Bothwell Regional Health Center
In this Leadership Dialogue, I’m joined by Lori Wightman, R.N., CEO of Bothwell Regional Health Center, in Sedalia, Mo. Lori and I discuss working in a “family atmosphere” unique to a rural hospital and navigating the same pressures that face urban hospitals.