American Hospital Association

AHA Asks for Another $50B in Coronavirus Relief for Hospitals

by Jacqueline LaPointe

The American Hospital Association (AHA) is asking HHS to distribute another $50 billion in coronavirus relief funds as hospitals continue to feel the financial pressure of responding to COVID-19. For...

Hospitals Ask for Relief from Healthcare Fraud Laws During COVID-19

by Jacqueline LaPointe

Leading hospital groups are urging the Department of Justice to ease penalties from the Anti-Kickback Statute and other federal healthcare fraud laws during the COVID-19 public health emergency. For...

AHA Asks for an Immediate $25K Per Hospital Bed to Combat COVID-19

by Jacqueline LaPointe

COVID-19 is having a significant impact on hospital operations and ultimately bottom lines, but groups like the American Hospital Association (AHA) are trying to get financial support to hospitals as...

AHA, AAMC Sue HHS Again Over Outpatient Site-Neutral Payments

by Jacqueline LaPointe

Hospital stakeholders filed a lawsuit on Monday challenging HHS’ most recent attempt to implement site-neutral payments for certain outpatient services rendered in hospital settings. Contending...

PhrMA: 340B Hospitals Reimbursed 3X the Amount Paid for Drugs

by Samantha McGrail

340B hospitals are getting reimbursed three times the amount they initially paid for brand medications under the drug pricing program, according to a new analysis conducted by Milliman and commissioned...

CMS to Repay Site-Neutral Payments to Hospitals, Appeal Case

by Jacqueline LaPointe

CMS announced in a newsletter last week that the agency will automatically reprocess claims for hospital outpatient services performed in calendar year (CY) 2019 to abide by a federal judge’s...

340B Hospitals Oppose Drug Acquisition Cost Survey from CMS

by Samantha McGrail

Hospitals are fed up with CMS’ plan to survey 340B hospitals to obtain drug acquisition cost data for drugs covered under the program. In a letter to CMS, 340B Health recently asked CMS to...

New Hospital Price Transparency Rule Challenged in Court

by Jacqueline LaPointe

Four leading healthcare associations and three hospitals filed a lawsuit today against HHS over the recently finalized hospital price transparency requirement that mandates the disclosure of...

Industry Leaders Support Proposed Changes to ACO Benchmarking

by Jacqueline LaPointe

Fourteen healthcare industry groups, including the American Hospital Association (AHA) and the American Medical Association (AMA), recently backed the campion to Senate legislation that would alter...

HHS Ahead of Schedule for Eliminating Medicare Appeals Backlog

by Jacqueline LaPointe

HHS reduced the Medicare appeals backlog at the administrative law judge level by 25 percent through the third quarter of fiscal year (FY) 2019, according to a recent status report obtained by the...

AHA Urges CMS to Abolish Site-Neutral, 340B Payment Cuts in OPPS

by Jacqueline LaPointe

The American Hospital Association (AHA) questioned the legality of site-neutral and 340B payment policies in the Outpatient Prospective Payment System (OPPS), arguing the proposals would “have a...

Hospitals Take Aim at Healthcare Price Transparency Proposal

by Jacqueline LaPointe

A healthcare price transparency rule proposed earlier this year by CMS aims to empower patients by requiring the public disclosure of rates negotiated by hospitals and payers. But hospitals and other...

Winners, Losers of the Medicare Site-Neutral Payment Policy Ruling

by Jacqueline LaPointe

Hospitals rejoiced last week after a federal judge decided to toss Medicare’s most recent attempt to expand a site-neutral payment policy that would have reduced payments to hospital outpatient...

Stakeholders Pick Apart Bundled Payments for Radiation Oncology

by Jacqueline LaPointe

The American Hospital Association (AHA), Community Oncology Alliance (COA), and other key stakeholders voiced concerns about a mandatory bundled payments model for radiation oncology slated to take...

AHA: Give Funds from Johnson & Johnson Opioid Lawsuit to Hospitals

by Jacqueline LaPointe

Hospitals and health systems should receive a portion of the $572 million fine Johnson & Johnson must pay for their role in the opioid crisis, the American Hospital Association (AHA) recently told...

Hospitals Call for Medical Billing, Prior Authorization Reform

by Jacqueline LaPointe

CMS recently called on industry stakeholders to suggest ways that the agency can reduce administrative burdens, and hospitals did not disappoint. The federal agency received over 560 comments in...

AHA: Fixed Reimbursement Rates Not a Surprise Medical Bill Solution

by Jacqueline LaPointe

In a recent testimony in front of the subcommittee on health, the American Hospital Association (AHA) strongly opposed proposed surprise medical bill legislation that would establish fixed...

Providers Oppose ONC’s Healthcare Price Transparency Strategy

by Jacqueline LaPointe

The devil is in the details according to major provider and payer groups commenting on strategies to promote healthcare price transparency in a proposed rule from the Office of the National Coordinator...

AHA Seeks More on Primary Cares Initiative’s Direct Contracting

by Jacqueline LaPointe

CMS’ request for information on a new direct contracting model presents a unique opportunity for financial risk in healthcare, but the “lack of detail makes it difficult for providers to...

Non-Profit Hospitals Provided $95B in Community Benefits in 2016

by Jacqueline LaPointe

The value of community benefits provided by non-profit hospitals significantly outweighed the federal revenue foregone due to tax exemption, according to a new analysis released by the American...