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Member

Upcoming PAMA Data Reporting Period for Hospital Outreach Laboratories

In 2014, Congress passed the Protecting Access to Medicare Act (PAMA).

CMS accepting comments on data collection requirements for Medicare Advantage plans, Part D sponsors

The Centers for Medicare & Medicaid Services is seeking comments by May 11 on its proposed revisions to data reporting requirements for Medicare Advantage and Part D plans, according to a Paperwork Reduction Act listing.
Public

Fact Sheet: Medicare and Medicaid Constitute Majority of Hospital Payments

It is broadly acknowledged that Medicare reimburses hospitals less than the cost of providing care and their reimbursement rates are non-negotiable.

MedPAC releases March 2026 report to Congress

The Medicare Payment Advisory Commission March 12 released its March 2026 report to Cong
Member

House Passes Revised Appropriations Package Ending Partial Government Shutdown

On Jan 30, the Senate passed an amended version of the Consolidated Appropriations Act of 2026 (H.R. 7148) by a vote of 71-29.

CMS guidance reinforces roles of organ procurement organizations and hospitals in organ procurement, transplantation

The Centers for Medicare & Medicaid Services March 11 issued guidance to state survey agency directors clarifying and reinforcing the roles and responsibilities of organ procurement organizations and hospitals in organ procurement and transplantation.

Report finds Medicare premiums are higher due to MA overpayments 

The Joint Economic Committee March 10 released a report that found Medicare Part B premiums rose last year due to Medicare Advantage overpayments.

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.
Public

Fact Sheet: Rural Hospital Support Act (S. 335) and the Assistance for Rural Community Hospitals Act (H.R.1805)

Medicare pays most acute care hospitals under the inpatient prospective payment system (IPPS). Some of these hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume. These programs are Low-volume Adjustment (LVA)Medicare-dependent Hospitals (MDHs), and Sole Community Hospitals (SCHs).