American Hospital Association

Hospital Uncompensated Care Costs Grew to $41.61B in 2019

by Jacqueline LaPointe

Hospital uncompensated care costs increased right before the COVID-19 pandemic hit, according to new data from the American Hospital Association (AHA). AHA data showed that hospitals incurred a new...

Appeals Court Throws Out Hospital Price Transparency Challenge

by Jacqueline LaPointe

A federal appeals court has recently rejected the hospital industry’s challenge of the upcoming hospital price transparency rule that will require hospitals to disclose payer-specific rates to...

Providers Seek to Stop Hospital Price Transparency Enforcement

by Jacqueline LaPointe

Provider groups are calling on the court to prevent hospital price transparency enforcement in the 11th hour, citing the ongoing COVID-19 pandemic. The American Hospital Association, Association of...

UPDATED: Congress Approves COVID-19 Stimulus, Gives $3B to Provider Relief Fund

by Jacqueline LaPointe

UPDATED at 12/22/2020 Congress has reached an agreement on a $900 billion COVID-19 stimulus package that was passed on Monday evening. But healthcare providers are still concerned about receiving...

Hospital Claim Denials Up for Most, Driven by Prior Authorizations

by Jacqueline LaPointe

Hospitals and health systems are facing a growing volume of claim denials, with private plan prior authorization issues driving the recent increase, according to a new report from the American Hospital...

Hospitals Criticize Major Policy Moves in 2021 OPPS Final Rule

by Jacqueline LaPointe

Healthcare policies designed to boost competition between hospital outpatient departments and physician offices could actually end up harming hospitals during one of the worst financial crises to hit...

Healthcare Providers Tell Trump to Give Biden COVID-19 Data ASAP

by Jacqueline LaPointe

The healthcare industry’s leading medical associations are urging President Donald Trump to share COVID-19 data and other critical information related to the virus with the Biden transition team...

Providers Want Congress to Pause Medicare Sequester in 2021, Too

by Jacqueline LaPointe

Major provider groups are asking Congress to extend a congressionally-enacted moratorium on the application of the Medicare sequester cuts into 2021. The American Hospital Association, American...

AHA: Reinstate June’s Provider Relief Fund Reporting Requirements

by Jacqueline LaPointe

The American Hospital Association (AHA) is urging HHS to reinstate Provider Relief Fund reporting requirements outlined in a June 19 FAQ rather than move forward with those detailed in a Sept. 19...

AHA Contests Study on High Hospital Prices for Privately Insured

by Jacqueline LaPointe

The American Hospital Association (AHA) is speaking out against a new RAND Corporation study that found private health plans pay 247 percent more, on average, than what Medicare would pay for the same...

AHA Slams Big Pharma Over Efforts to Limit 340B Drug Discounts

by Jacqueline LaPointe

The American Hospital Association (AHA) is demanding that five major pharmaceutical companies cease new efforts to curtail 340B drug discounts. In the past couple of weeks, Merck, Eli Lilly, Sanofi,...

AHA Wants More Payback Options for Accelerated Medicare Payments

by Jacqueline LaPointe

The American Hospital Association (AHA) is calling on CMS to reconsider repayment options for hospitals that accepted accelerated Medicare payments at the start of the COVID-19 pandemic. For more...

Surprise Billing Action Needed, But Hospitals Urge Congress to Wait

by Jacqueline LaPointe

Lawmakers are focused on addressing surprise billing through federal legislation, but providers do not want the next coronavirus stimulus package to prohibit the practice that can cost patients...

CMS Resumes RAC Audits, Other Medical Review Activities

by Jacqueline LaPointe

CMS recently resumed medical review activities, including pre- and post-payment reviews conducted by Medicare Administrative Contractors (MACs) and Recovery Audit Contractors (RACs), which were paused...

Hospitals Lose Case Challenging 340B Hospital Payment Reduction

by Jacqueline LaPointe

An appeals court recently ruled against hospital groups seeking to block a nearly 30 percent reduction in 340B hospital payments to hospitals participating in the federal drug discount program. The...

AHA, AAMC Want Rehearing for Hospital Site-Neutral Payment Case

by Jacqueline LaPointe

The fight against site-neutral payments for hospital outpatient services is not over for two industry groups. The American Hospital Association (AHA) and the Association of American Medical Colleges...

AHA’s List of COVID-19 Flexibilities That Should Stay and Go

by Jacqueline LaPointe

As the country entered both a national emergency and public health emergency, CMS implemented a range of COVID-19 flexibilities, including waivers that enabled hospitals and health systems to increase...

Hospitals Call for Delay of Price Transparency Rule Due to COVID-19

by Jacqueline LaPointe

Hospital groups are urging HHS to delay requirements mandating the public disclosure of privately negotiated rates about a week after a federal judge dismissed their case challenging the upcoming price...

Judge Dismisses Case Against New Hospital Price Transparency Rule

by Jacqueline LaPointe

A federal judge dismissed a case challenging a hospital price transparency rule that will require the providers to disclose privately negotiated rates with commercial payers. The ruling released...

AHA Wants Extension of Emergency Declaration, COVID-19 Flexibilities

by Jacqueline LaPointe

Healthcare providers will still need key COVID-19 flexibilities beyond the end of HHS’ public health emergency declaration on July 25, 2020, the American Hospital Association (AHA) recently told...