Medicare
The Centers for Medicare & Medicaid Services finalized its proposal to codify how it defines 鈥渞easonable and necessary鈥 coverage for items and services furnished under Medicare Parts A and B.
The Medicare Payment Advisory Commission (MedPAC, or the Commission) will vote this month on payment recommendations for 2022.
At A Glance
Health plans often inappropriately delay or decline coverage for medically necessary care. This can undermine the quality of care that is provided, strain the provider/patient relationship, result in bad debt for providers and unexpected bills for patients, and increase the burden on鈥
AHA comments on the Centers for Medicare & Medicaid Services鈥 proposed changes to the hospital and hospital health care complex cost report.
At a Glance
House and Senate leaders late yesterday announced an agreement on a roughly $900 billion COVID-19 relief package that includes a number of provisions beneficial to hospitals and health systems. They also agreed on a roughly $1.4 trillion spending package that would fund the federal鈥
The Centers for Medicare & Medicaid Services announced that it is extending the third quarter 2020 data submission deadlines for several of its quality reporting and value programs for hospitals, post-acute care and other providers.
Our members provide health care to the more than 62 million Medicare beneficiaries. We urge you to include in year-end legislation an extension of the congressionally-enacted moratorium on the application of the Medicare sequester cuts into 2021 and through the duration of the public health鈥
As Congress continues to negotiate a year-end spending package and more COVID-19 relief, we鈥檙e continuing to keep you updated on the latest issues. This is our third Action Alert related to the lame-duck session, and information and resources related to our priority issues are included below.
Reps. Bradley Schneider, D-Ill., and David McKinley, R-W.Va., introduced the Medicare Sequester COVID Moratorium Act, AHA-supported legislation that would extend the moratorium on the Medicare sequester cuts through the COVID-19 pandemic.
Congress is back in Washington, D.C., and sprinting to the finish line to complete its end-of-the-year work during the 鈥渓ame-duck鈥 session. Funding for the federal government, as well as other key health care provisions, are set to expire Dec. 11.