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Posts tagged with "site-neutral payments"

National News

New Kaufman Hall Infographic Breaks Down How Policy Shifts Could Hit Hospitals

One of the nation's top healthcare financial advisory firms, KaufmanHall provided a cheat sheet for health executives confounded by the numerous implications of pending or debated health policy changes on America's hospitals. The handy visual guide is designed to help hospitals assess how proposed federal policy changes could affect...
National News

House GOP Cycling "Menu" of Cuts to Health Programs

Republicans in the U.S. House of Representatives are passing around a draft bill that they say would eliminate more than $5 trillion in spending that they could use to pay for incoming President Donald Trump's priorities. The potential spending offsets includes massive changes to Medicare, Medicaid cuts and a "reimagining" of the...
Arizona News

How Trump's Healthcare Policies Could Affect Arizonans

Healthcare was barely mentioned during the 2024 election cycle, but there are major policy decisions to be made early next year that will have major impacts across the industry. While Medicaid was almost never mentioned, there are glaring vulnerabilities to the program as President-elect Donald Trump threatens severe cuts to federal...
CMS Rules

KFF Issue Brief and Roundtable: Site Neutral Payments

In order to rein in runaway healthcare spending under the Medicare program, political interest has turned to site-neutral payments as a method of keeping costs low. This week, KFF looks into site neutral payments in a new fact sheet and podcast. Hypothetically, site-neutral payment reforms would reduce the amount Medicare pays for...
National News

New Ruling on Site Neutral Payment Policy - Reverses Overturn of 2019 Policy, Saves CMS $380M in Repayments

According to an opinion by the US Court of Appeals for the District of Columbia, Health and Human Services was working within its statutory authority when it lowered hospital outpatient payment rates for care provided at all campus provider-based departments of a hospital. The Advisory Group reported, the United States Court of...
CMS Rules

CMS Finalizes 2020 Site Neutral & 340B Cuts Despite Federal Court Losses

The final rule with comment period updates and revises policies under the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System. Hospital advocates aren't taking the news lightly since Medicare Part B reimbursement cuts to hospitals for drugs purchased through the 340B...
CMS Releases Final 2019 OPPS Rule for Hospital Outpatient and Ambulatory Surgery News

CMS Releases Final 2019 OPPS Rule for Hospital Outpatient and Ambulatory Surgery

The final 2019 Hospital Outpatient Prospective Payment System (OPPS) rule with comment period phases in cuts to hospital outpatient clinic visits and bumps ambulatory surgical centers (ASCs) average reimbursement rate per procedure by 2.1 percent while hospital outpatient surgery departments get 1.35 percent more next year. The new...
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