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85 Results Found

Member

Hospital Outpatient, Ambulatory Surgical Center Proposed Rule for CY 2026

The AHA is disappointed that CMS proposes an inadequate Medicare outpatient hospital payment update, as many hospitals — especially those in rural and underserved communities — operate under challenging financial pressures.
Member

Action Alert: Respond to CMS' Proposals on Medicare Clawback, Drug Acquisition Survey

The Centers for Medicare & Medicaid Services, in its outpatient prospective payment system proposed rule for calendar year 2026, issued proposals to accelerate the timeline for clawing back funds resulting from the agency’s unlawful policy between calendar years 2018 and 2022, as well as to conduct a drug acquisition survey.
Member Non-Fed

TAKE ACTION: Engage Lawmakers in August to Build Support for Key Priorities

It is important to engage with your lawmakers while they are home and discuss the impact that the recently passed One Big Beautiful Bill Act and additional policy proposals that are under consideration will have on hospitals’ ability to provide care.
Public

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

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 Medicare- dependent Hospitals (MDHs), Low-volume Adjustment (LVA) and Sole Community Hospitals (SCHs).

AHA Statement on House Ways and Means Committee Hearing on Medicare Advantage

Inappropriate denials for prior authorization and coverage of medically necessary services are a pervasive problem among certain plans in the Medicare Advantage (MA) program.
Member

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.
Public

AHA Senate Letter Supporting Improving Seniors’ Timely Access to Care Act

AHA expresses support for Senate legislation, the Improving Seniors’ Timely Access to Care Act.
Public

AHA House Letter Supporting Improving Seniors’ Timely Access to Care Act

AHA expresses support House legislation, the Improving Seniors’ Timely Access to Care Act.
Member

AHA Summary of House Energy and Commerce Legislative Language

The House Energy and Commerce Committee May 11 released bill text in advance of its May 13 markup. The committee has been instructed to reduce deficits by $880 billion, with significant Medicaid cuts being considered.
Member

FY 2026 Transforming Episode Accountability Model Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) April 11 issued its hospital inpatient prospective payment system (PPS) and long