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AHA comments on CY 2026 OPPS proposed rule
The AHA commented Sept. 15 on the Centers for Medicare & Medicaid Services calendar year 2026 outpatient prospective payment system and ambulatory surgical center payment system proposed rule.
Hospital Outpatient Departments Are Different from Independent Physician Offices
Current Medicare payment rates recognize the fundamental differences between patient care delivered in hospital outpatient departments compared to other settings. Any expansion of so-called site-neutral payment cuts will result in limiting or eliminating critical hospital-based care, increased wait times for services and reduced access to care for all patients.
White House issues executive order on drug pricing
The White House April 15 released an executive order directing federal agencies to undertake a broad range of tasks aimed at reducing the costs of prescription drugs.
AHA urges Congress to act on key priorities for hospitals before end of the year
In comments Nov. 12 to majority and minority leaders of the House and Senate, the AHA requested that Congress act on key priorities for hospitals and health systems before the end of 2024.
Speaking Up for Priorities That Will Help Hospitals Advance Health for Patients and Communities
It is important to use the August recess that begins next week as an opportunity to engage senators and representatives while they are back home. It is critical for federal lawmakers to understand the challenges hospitals and health systems face.
In OPPS rule, CMS increases payment rates by 2.9%; finalizes new Conditions of Participation
The Centers for Medicare & Medicaid Services Nov. 1 issued a final rule that increases Medicare hospital outpatient prospective payment system rates by a net 2.9% in calendar year 2025 compared to 2024.
Senators release framework of site-neutral legislation for hospital outpatient departments
Senators Bill Cassidy, R-La., and Maggie Hassan, D-N.H., Nov. 1 released a policy framework detailing a plan to impose site-neutral payments on hospitals. Site-neutral payment policies would require Medicare to pay the same rate for services delivered regardless of the care site.
AHA comments to MedPAC on 2024-2025 cycle
The AHA Aug. 13 commented to the Medicare Payment Advisory Commission in anticipation of the commission’s 2024-2025 cycle.
AHA: ‘Flawed’ site-neutral policies fail to recognize not all care sites are created equal
In response to a recent Washington Post op-ed favoring site-neutral payment, AHA President and CEO Rick Pollack writes in a letter to the editor published Friday that site-neutral policies "fail to recognize that not all care sites are created equal," and that "Hospitals are also held to higher regulatory and safety standards, and they provide benefits such as 24/7 capacity for emergencies."
CMS proposes increasing payment rates by 2.6% in CY 2025
The Centers for Medicare & Medicaid Services July 10 issued a proposed rule that would increase Medicare hospital outpatient prospective payment system rates by a net 2.6% in calendar year 2025 compared to 2024. This includes a proposed 3.0% market basket update, offset by a 0.4 percentage point cut for productivity.