AHA to Host Advocacy Day on June 6 in Washington, D.C.
The American Hospital Association (AHA) will host an in-person Advocacy Day event in Washington, D.C. on June 6 as Congress considers legislation on a number of issues affecting hospitals.
U.S House Holds Multiple Hearings on Hospital Issues
CHA thanks members for responding to the targeted alert calling for hospitals to contact their congressional representatives ahead of the four House subcommittee hearings on transparency, disproportionate share hospital (DSH) payments, outpatient payments, 340B, physician-owned hospitals, tax-exempt status, and many other hospital issues.
CHA Comments on Proposed Changes to 340B ADR Process
CHA has submitted comments on the proposed rule updating the 340B administrative dispute resolution (ADR) process. In the letter, CHA generally supported the proposed rule from the Health Resources and Services Administration. CHA offered specific comments on the revised ADR panel role, structure, and the elimination of the minimum threshold of the disputed claims.
340B Case Remanded to HHS to Determine Underpayment Remedy
On Jan. 10, the U. S. District Court for the District of Columbia sent a case about 340B underpayments back to the Department of Health and Human Services (HHS).
HRSA Issues Long-Awaited Proposed Rule on Administrative Dispute Resolution Process
The Health Resources and Services Administration has issued a long-awaited proposed rule updating the 340B administrative dispute resolution (ADR) process.
Medicare Outpatient Expenditures Estimated to Grow $6.5B
The calendar year 2023 Outpatient Prospective Payment System (OPPS) final rule, issued Nov. 1, 2022, by the Centers for Medicare and Medicaid Services estimates that Medicare expenditures under OPPS will increase by $6.5 billion, relative to estimated current year payments, based on changes in the final rule. Key provisions are:
Court Rules HHS Must Restore Full 340B Payments to Hospitals for Rest of 2022
On Sept. 28, a federal district court ruled that the Department of Health & Human Services (HHS) must immediately halt the department’s cuts to outpatient reimbursement rates for the remainder of 2022 for certain hospitals that participate in the 340B Drug Pricing Program. HHS will begin restoring a payment rate of average sales price plus […]
CHA Comments on OPPS Proposed Rule
CHA submitted comments on the calendar year (CY) 2023 outpatient prospective payment system (OPPS) proposed rule. In the letter, CHA raises concerns about the inadequate proposed market basket update and asks CMS to use alternative sources of data that better reflect input price inflation experienced by providers to calculate the CY 2023 market basket update. […]
CHA Issues Summary of CY 2023 OPPS Proposed Rule, Webinar on Aug. 22
CHA has issued a comprehensive summary of the calendar year (CY) 2023 outpatient prospective payment system (OPPS) proposed rule.
Supreme Court Rejects HHS Reduction of Prescription Drug Reimbursement for 340B Hospitals
On June 15, the U.S. Supreme Court ruled in favor of the American Hospital Association (AHA) in its lawsuit against the federal Department of Health & Human Services (HHS) challenging HHS’ reduction of prescription drug reimbursement rates for 340B hospitals for 2018 and 2019.