2+ day, 18+ hour 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…...

3+ day, 17+ hour 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…...

5+ day, 17+ hour 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+ week, 3+ day 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…...

2+ week, 4+ day 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…...

3+ week, 3+ day ago  (430+ words) CMS issues proposed rule on Medicaid supplemental payments American Hospital Association The Centers for Medicare & Medicaid Services May 20 released a proposed rule that would modify policies governing Medicaid state-directed payments as authorized under last year's reconciliation package and would establish…...

3+ week, 3+ day ago  (236+ words) American Hospital Association E&C statement on examining the Medicare Physician Fee Schedule, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), and opportunities for payment reform....

3+ week, 3+ day ago  (118+ words) AHA recommends changes to MACRA, physician payments to House subcommittee American Hospital Association The AHA May 20 provided comments to the House Energy and Commerce Subcommittee on Health for a hearing on the physician fee schedule, the Medicare Access and CHIP…...

3+ week, 5+ day ago  (104+ words) CMS releases 2027 notice of benefit and payment parameters final rule American Hospital Association The Centers for Medicare & Medicaid Services May 15released its 2027 final standards for the health insurance marketplaces, including the issuers and brokers who assist marketplace enrollees. Notably, the final…...

4+ week, 2+ day ago  (509+ words) Strengthening Medicare Advantage to Better Serve Today's Seniors American Hospital Association Approximately 35 million Americans are enrolled in Medicare Advantage plans in 2026, and that number is expected to grow to about 45 million MA enrollees by 2030. That means within the next four…...