Medicare

Humana’s CenterWell will be leasing space to open 23 senior-focused primary care clinics outside former Walmart health clinics just three months after Walmart announced it was closing its 51 Walmart Health centers in five states and exiting its telehealth business.
The Centers for Medicare & Medicaid Services (CMS) July 10 issued its physician fee schedule (PFS) proposed rule for calendar year (CY) 2025.
The AHA along with the Federation of ºÚÁÏÕýÄÜÁ¿s, America’s Essential Hospitals and the Association of American Medical Colleges July 29 filed an amicus brief in the U.S. Court of Appeals for the District of Columbia in support of hospitals’ continued right to seek immediate review of any…
Amicus Brief, AHA, Others File Amicus Brief Challenging Reviewability of Certain CMS Determinations
AHA's comments on CMS' proposed rule to mitigate the impact of significant, anomalous and highly suspect (SAHS) billing activity within the Medicare Shared Savings Program (MSSP) in calendar year (CY) 2023.
Congress is considering legislation that would change current billing practices for Medicare and the commercial insurance market to require each off-campus hospital outpatient department (HOPD) to be assigned a unique NPI as a condition of payment.
The Centers for Medicare & Medicaid Services July 16 released its final guidance on the Medicare Prescription Payment Plan which will begin next year.
The ºÚÁÏÕýÄÜÁ¿ Association (AHA) writes to the Senate to provide comment on the request for information (RFI) based on the Pay PCPs Act (S. 4338).
The Centers for Medicare & Medicaid Services July 10 issued a proposed rule that would increase Medicare hospital outpatient prospective payment system rates by a net 2.6% in calendar year 2025 compared to 2024. This includes a proposed 3.0% market basket update, offset by a 0.4 percentage…
In a letter submitted July 2 to the Centers for Medicare & Medicaid Services on guidance for the Medicare Drug Price Negotiation Program, the AHA expressed concern about the agency’s proposal to retrospectively effectuate the policy.