2+ hour, 57+ min ago  (151+ words) CMS announces national implementation of risk-based survey process for high-performing nursing homes American Hospital Association The Centers for Medicare & Medicaid Services July 16 announced nationwide implementation of a new risk-based survey review process for high-performing nursing homes. CMS pilot tested the…...

2+ week, 1+ day ago  (58+ words) CMS proposes updates to home health payments for CY 2027, updates to provider enrollment and quality and value-based purchasing programs American Hospital Association CMS will accept comments on the proposed rule for 60 days following publication in the Federal Register. AHA members…...

2+ week, 6+ day ago  (660+ words) MedPAC’s Narrow Lens on Medicare Advantage Is Incomplete American Hospital Association Medicare Advantage now covers more than half of eligible Medicare beneficiaries, making its impact on hospitals, health systems and patients impossible to ignore. As enrollment continues to grow, the…...

1+ mon, 1+ day ago  (234+ words) AHA cautions against the interpretation of MedPAC report on Medicare Advantage enrollment and provider finances American Hospital Association The Medicare Payment Advisory Commission June 15 released its June report to Congress that estimated the association between Medicare Advantage enrollment and hospital…...

1+ mon, 1+ day ago  (208+ words) The Centers for Medicare & Medicaid Services and the Department of Health and Human Services issued a request for information (https://www.federalregister.gov/documents/2026/06/15/2026-11994/request-for-information-comprehensive-review-of-the-essential-health-benefits-framework-and-typical) June 12 seeking input on CMS’ review of the Affordable Care Act’s Essential Health Benefits framework and the requirement that the…...

1+ mon, 5+ day ago  (219+ words) HHS OIG reports highlight MA insurer denials for long-term care, rehab services and SNF admissions American Hospital Association The Department of Health and Human Services Office of Inspector General June 11 released two reports on high rates of coverage denials by…...

1+ mon, 6+ day ago  (133+ words) Medicare trustees project Hospital Insurance Trust Fund to become insolvent in 2033 American Hospital Association The Hospital Insurance Trust Fund has been projected to become insolvent in 2033, according to the Medicare Board of Trustees’ annual report released June 9. The fund pays…...

1+ mon, 1+ week ago  (125+ words) AHA calls for improvements to FY 2027 payment updates for long-term care hospitals American Hospital Association The AHA provided comments to the Centers for Medicare & Medicaid Services June 8 on its fiscal year 2027 proposed rule for the long-term care hospital prospective payment…...

1+ mon, 1+ week ago  (305+ words) Representatives join hospital leaders at AHA briefing to discuss need for legislation on prompt payment standard for MA plans American Hospital Association Members of Congress and hospital and health system leaders today gathered for a briefing in Washington, D.C., to discuss…...

1+ mon, 2+ week ago  (874+ words) Hospitals and health systems increasingly report that Medicare Advantage (MA) plans are delaying payment for medically necessary care that has already been delivered, even when the care has been authorized. The plans frequently dispute whether a claim is “clean” and…...