HHS

Hospital Groups Rally Against HHS’ Interpretation of DSH Payments Formula

February 9, 2024 - The American Hospital Association (AHA) and five other hospital groups are calling on the Supreme Court to challenge the Department of Health and Human Services’ (HHS) interpretation of disproportionate share hospital (DSH) payments. Medicare reimbursement rates are often not high enough to cover all of the costs hospitals spend on patients,...

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Feds Finalizes $115 Participation, Other Fees for IDR Process

by Jacqueline LaPointe

The Departments of Health and Human Services, Labor, and the Treasury (the Departments) have updated the amount each party must pay to resolve surprise medical bills through the federal independent...

HHS Investigates Medical Credit Cards, Installment Loans

by Jacqueline LaPointe

Several federal departments, including HHS, recently announced an inquiry into medical credit cards and installment loans after research suggests that these patient payment options drive up healthcare...

HHS to Start Unwinding COVID-19 Vaccine Requirement

by Jacqueline LaPointe

HHS and DHS are starting the process of ending the COVID-19 vaccine requirement for CMS-certified healthcare facilities, as well as Head Start educators and certain noncitizens at the borders. The...

HHS Sheds Light on Hospice, Home Health Ownership Data

by Jacqueline LaPointe

For the first time, HHS is releasing ownership data on all Medicare-certified hospice and home health agencies in an effort to increase transparency and competition in healthcare. HHS announced...

House Oversight Panel Investigates COVID-19 Relief Allocation

by Jacqueline LaPointe

House Committee on Oversight and Accountability Chairman James Comer (R-KY) and Representative Nick Langworthy (R-NY) recently launched an investigation into how HHS allocated COVID-19 relief funds to...

People Have Less Trouble Paying Medical Bills, But Concerns Remain

by Jacqueline LaPointe

Paying medical bills has gotten a little easier for patients, according to a new report from HHS. The report released by the Centers for Disease Control and Prevention (CDC) found that the percentage...

HHS Releases Ownership Data on All Medicare-Certified Hospitals

by Jacqueline LaPointe

HHS is releasing ownership data on all Medicare-certified hospitals in a bid to promote competition in a highly consolidated industry. “At President Biden’s direction, this Administration...

HHS Gives Providers More Time for Good Faith Estimate Compliance

by Jacqueline LaPointe

HHS has extended enforcement discretion for the delivery of some good faith estimates (GFEs) under the No Surprises Act, according to new guidance. The guidance released by HHS on Friday says that CMS...

HHS Proposes Changes to 340B Administrative Dispute Resolution

by Victoria Bailey

HHS has proposed revisions to the 2020 final rule on the 340B Administrative Dispute Resolution (ADR) process to modify policy and operational challenges. The ADR process in the 340B Drug Pricing...

HRSA Opens Portal for Late Provider Relief Fund Reporting

by Victoria Bailey

The Health Resources and Services Administration (HRSA) has opened the Provider Relief Fund (PRF) portal to allow late reporting from healthcare providers on how they used PRF payments. The portal is...

MGMA Requests Modifications of Good Faith Estimate Requirements

by Victoria Bailey

The Medical Group Management Association (MGMA) has asked HHS, the Department of Labor, and the Department of the Treasury (the Departments) to modify the good faith estimate (GFE) and advanced...

Biden Administration Releases Data on Nursing Home Ownership

by Victoria Bailey

The Biden-Harris Administration has released additional Medicare nursing home ownership data to help boost nursing home transparency, safety and quality, and accountability. The publicly available...

US Rep. Urges HHS to Investigate Medicare Fraud Scheme by HCA

by Victoria Bailey

US Representative Bill Pascrell, Jr. (D-NJ-09), Chairman of the House Ways and Means Subcommittee on Oversight, has asked HHS to investigate a possible billion-dollar Medicare fraud scheme committed by...

HHS Requests Stakeholder Feedback on Good Faith Estimate Requirements

by Victoria Bailey

HHS, along with three other federal agencies, has issued a request for information (RFI) to gather stakeholder feedback on the advanced explanation of benefits (AEOB) and good faith estimate (GFE)...

HHS Allocates $60M to Address Rural Healthcare Workforce

by Sarai Rodriguez

Many rural areas do not have a sufficient workforce supply that meets the needs of their community. Through the Health Resources and Services Administration (HRSA), HHS has invested...

MGMA Requests Longer Notice Before Surprise Billing Enforcement

by Victoria Bailey

The Medical Group Management Association (MGMA) has asked CMS and HHS to provide medical group practices with at least six months’ notice before enforcing any additional surprise billing...

FAH Asks HHS, CMS to Extend COVID-19 PHE, Regulatory Waivers

by Victoria Bailey

The Federation of American Hospitals (FAH) has urged HHS to extend the COVID-19 public health emergency (PHE) into 2023, stressing that hospitals across the country still rely on the accompanying...

House Reps Ask HHS to Clarify Critical Access Hospital Payment Rule

by Victoria Bailey

A bipartisan group of 25 House members has asked HHS to clarify its plans regarding the enforcement of Medicare’s 96-hour payment rule for critical access hospitals (CAHs) following the end of...

Federal Govt Received $1.9B from FY21 Healthcare Fraud Settlements

by Victoria Bailey

The federal government received almost $1.9 billion in healthcare fraud settlements and judgments in fiscal year 2021, according to a report from the HHS Office of Inspector General (OIG). The latest...

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