Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

AHA

Orgs Offer Regulatory Relief to Boost Value-Based Purchasing

August 30, 2017 - In response to the recent CMS call for stakeholder feedback on how to provide regulatory relief, industry groups detailed ways to reduce red tape associated with value-based purchasing implementation. Hospitals and individual providers have recently faced an increase in regulatory burdens, the American Hospital Association (AHA) recently stated. In 2016 alone, CMS and other HHS agencies published...


More Articles

AHA Calls For 25% Rule End for Fair LTCH Medicare Reimbursement

by Jacqueline Belliveau

The American Hospital Association (AHA) pressed CMS Administrator Seema Verma to reconsider proposed Medicare reimbursement provisions for long-term care hospitals (LTCHs). Specifically, the industry group called for a permanent end to the 25-Percent...

AHA: Uncompensated Care Costs Worksheet Inaccurate, Inconsistent

by Jacqueline Belliveau

The American Hospital Association (AHA) recently called on CMS to audit and modify the hospital cost report, Worksheet S-10, before the federal agency uses the report to determine each hospital’s uncompensated care costs and supplemental...

AHA, FAH Oppose Proposed Physician Self-Referral Law Changes

by Jacqueline Belliveau

The American Hospital Association (AHA) and the Federation of American Hospitals (FAH) recently urged lawmakers to oppose a proposed bill that would extend physician self-referral allowances to physician-owned hospitals. In late February, House...

AHA Calls for Medicare Reimbursement Bump for Hospital Services

by Jacqueline Belliveau

The American Hospital Association (AHA) recently urged the Medicare Payment Advisory Commission (MedPAC) to finalize a recommendation that would boost Medicare reimbursement for hospital inpatient and outpatient services in 2018. In a comment...

Medicaid, Medicare Reimbursement $57.8B Below Hospital Costs

by Jacqueline Belliveau

Medicaid and Medicare reimbursement in 2015 was under actual hospital costs for treating beneficiaries by $57.8 billion, the American Hospital Association (AHA) recently reported. According to data from the AHA’s Annual Survey of US Hospitals,...

AHA Calls for Value-Based Reimbursement Reform Under Trump

by Jacqueline Belliveau

In a recent letter to President-Elect Trump, the American Hospital Association (AHA) urged the upcoming administration to continue the value-based reimbursement transition by developing more effective alternative payment models, promoting telehealth,...

AHA Urges Congress to Pass Healthcare Payment Reform Bills

by Jacqueline Belliveau

The American Hospital Association (AHA) recently called on Congress to pass several healthcare payment reform bills, such as the Helping Hospitals Improve Patient Care Act and the Sustaining Healthcare Integrity and Fair Treatment Act of 2016,...

AHA Offers HHS Solutions to Reduce Medicare Appeals Backlog

by Jacqueline Belliveau

The American Hospital Association (AHA) recently advised the Department of Health and Human Services (HHS) to implement three solutions that would significantly reduce the Medicare appeals backlog at the administrative law judge level. The potential...

AHA Urges CMS to Withdraw Uncompensated Care Payment Changes

by Jacqueline Belliveau

The American Hospital Association (AHA) recently penned a letter to CMS Acting Administrator Andy Slavitt urging the federal agency to withdraw its proposed rule to include third-party payments, such as private payer and Medicare reimbursements,...

Are Federal Value-Based Care Programs Truly Promoting Value?

by Jacqueline Belliveau

In a statement to the House Ways and Means Health Subcommittee, the American Hospital Association (AHA) argued that Medicare value-based reimbursement programs, particularly pay-for-performance initiatives, do not have effective and fair financial...

AHA: Delay Site-Neutral Rule to Address Medicare Fraud Risks

by Jacqueline Belliveau

The American Hospital Association (AHA) has asked CMS to delay the implementation of proposed site-neutral payments for another year because the payment reform rule could increase a hospital’s Medicare fraud and abuse risks. Site-neutral...

AHA: Hospital Mergers Monopoly Test Neglects Healthcare Trends

by Jacqueline Belliveau

The American Hospital Association (AHA) recently urged the US Court of Appeals to reject the Federal Trade Commission’s (FTC) new approach to assessing whether or not hospital mergers will create a marketplace monopoly. In a friend-of-the-court...

AHA: Healthcare Fraud Laws Impede Value-Based Care Success

by Jacqueline Belliveau

For alternative payment models under MACRA to succeed, the federal government needs to revise healthcare fraud and abuse prevention laws to work with new value-based care strategies, explained the American Hospital Association (AHA) in a recent...

AHA Seeks Changes to Post-Acute Care Medicare Reimbursement

by Jacqueline Belliveau

The American Hospital Association (AHA) has called on the Centers of Medicare and Medicaid Services (CMS) to revise proposed Medicare reimbursement reforms for two post-acute care models. In separate letters, the AHA outlined several issues with...

AHA: Commercial ACO Tax Ruling Impedes Value-Based Care Models

by Jacqueline Belliveau

By stripping commercial accountable care organizations (ACOs) of their charitable tax exempt status, the IRS could be threatening the future of value-based care and care coordination, according to the American Hospital Association (AHA). In a...

AHA: MACRA Alternative Payment Model Incentives Need Changing

by Catherine Sampson

The MACRA Alternative Payment Model incentives should be implemented in a way that provides the best opportunity for physicians to become qualifying participants, the American Hospital Association argued in a letter to CMS this week MACRA provides...

AHA, ASHP Disapprove of 340B Drug Pricing Program Court Rule

by Jacqueline DiChiara

According to last Wednesday's decision from the United States District Court for the District of Columbia, all drugs with an “orphan” designation will be excluded from the 340B Drug Pricing Program for both rural and...

AHA Announces New President and CEO, Rick Pollack

by Jacqueline DiChiara

Rick Pollack will be the next President and Chief Executive Officer of the American Hospital Association (AHA), announces AHA’s Board of Trustees. This September, Pollack will formally replace Richard J. Umbdenstock. Umbdenstock is...

AHA Sees Reimbursement as an ICD-10 Implementation Challenge

by Jacqueline DiChiara

Reimbursement is a key aspect that will play a big role by ICD-10 implementation as the Oct. 1, 2015 deadline approaches and speculation abounds as to the damaging financial effects an unsuccessful ICD-10 transition could have on healthcare practices...

Continue to site...