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House passes AHA-supported hospital-at-home extension bill
The House Dec. 1 passed the Hospital Inpatient Services Modernization Act (H.R. 4313), legislation extending certain Medicare waivers authorizing the hospital-at-home care program for five years.
Analysis: MA insurers made 53 million prior authorization determinations in 2024
A KFF analysis released Jan. 28 found that Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024, an increase from 49.8 million in 2023.
CMS proposes Medicare Advantage, Part D payment changes for CY 2027
The Centers for Medicare & Medicaid Services Jan. 26 released proposed changes to Medicare Advantage plan capitation rates and Part D payment policies for calendar year 2027, which the agency estimates will result in a net average year-over-year increase of 0.09% in MA plan payments, or $700 million.
AHA comments on 2027 Medicare Advantage, Part D policy proposals
The AHA Jan. 26 expressed support and provided its perspective on certain provisions within the Centers for Medicare & Medicaid Services’ proposed rule for policies governing the Medicare Advantage and Part D programs for contract year 2027.
AHA urges HRSA to stop Eli Lilly’s 340B claims-data submission policy from going into effect
The AHA Jan. 26 urged the Health Resources and Services Administration to take immediate action to stop a new Eli Lilly and Company policy from taking effect on Feb. 1, including by “assessing civil monetary penalties for intentionally overcharging 340B hospitals.”
House passes appropriations package for health care funding, extends key health care provisions
The House Jan.
Government drops appeal of preliminary injunction order in AHA 340B lawsuit on rebate model program
The federal government has dropped its appeal of a preliminary injunction blocking implementation of the Department of Health and Human Services’ 340B Rebate Model Pilot Program.
CMS to host webinar on new LEAD Model focused on providers who have not joined ACOs
The Centers for Medicare & Medicaid Services announced Jan. 15 that it will host a webinar Jan. 29 on its new accountable care organization model, the Long-term Enhanced ACO Design Model.
AHA responds to House request for information on modernizing MACRA
The AHA Jan. 20 made recommendations (https://www.aha.org/lettercomment/2026-01-20-aha-responds-house-rfi-modernizing-macra) to Congress on modernizing the Medicare Access and CHIP Reauthorization Act.
Comment deadline nears for 2027 Medicare Advantage, Part D policy proposals
The comment period for the Centers for Medicare & Medicaid Services' proposed rule for policies governing the Medicare Advantage and Part D programs for contract year 2027 ends Jan. 26.