Site-Neutral Payment Proposals

The Centers for Medicare & Medicaid Services (CMS) yesterday issued its fiscal year (FY) 2023 final rule for the inpatient and long-term care hospital (LTCH) prospective payment systems (PPS).
The Centers for Medicare & Medicaid Services (CMS) July 15 released its calendar year (CY) 2023 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) proposed rule that would increase OPPS rates by a net 2.7% in CY 2023 compared to CY 2022.
As strongly advocated by the AHA, the Centers for Medicare & Medicaid Services (CMS) today announced that it is rescinding prior audit denials for hospitals that had failed to qualify for the 鈥渕id-build exception鈥 so that the agency can review the determinations.
In a letter sent to the Centers for Medicare & Medicaid Services, AHA expressed its continued concerns about audit determinations denying hospitals a 鈥渕id-build exception鈥 to the site-neutral payment policy and urged the agency to extend by at least 180 days the July 18 and Sept. 16 deadlines鈥
In a letter to the Centers for Medicare & Medicaid Services, AHA expresses continued concerns about audit determinations denying hospitals a 鈥渕id-build exception鈥 to the site-neutral payment policy and urged the agency to extend by at least 180 days the July 18 and Sept. 16 deadlines for鈥
IN THE Supreme Court of the United States _________ AMERICAN HOSPITAL ASSOCIATION, ET AL., Petitioners, v. XAVIER BECERRA, IN HIS OFFICIAL CAPACITY AS SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. On Petition for a Writ of Certiorari to the United States Court of Appeals for the District鈥
The AHA, joined by member hospitals and health systems and other national organizations representing hospitals, filed reply briefs in their petitions asking the U.S. Supreme Court to reverse appeals court decisions in two important cases for patients and providers.
Medicare patients who receive care in a hospital outpatient department (HOPD) are more likely to be poorer and have more severe chronic conditions than Medicare patients treated in an independent physician office (IPO), according to a study released today by the AHA. The study also specifically鈥
Comparison of care in hospital outpatient departments and independent physician offices: AHA study reveals why actions implemented by the Department of Health and Human Services could threaten access to care.
AHA urged the Centers for Medicare & Medicaid Services to rescind its recent audit determinations denying hospitals a mid-build exception to site-neutral payment under the 21st Century Cures Act.