The American Hospital Association in September will launch its Center for Health Innovation, which aims to spread best practices across the membership. AHA Board Chair Nancy Howell Agee has been a key driver behind the association's efforts to address innovation.
In an effort to encourage ACOs to take on downside risk earlier, it plans to end the Track 1 upside-risk-only model.
The CMS is waiving an Obama-era guidance that prohibited Medicare Advantage plans from imposing prior authorization requirements on Part B drugs.
HHS revealed it has made progress reducing its Medicare appeals backlog and won't need to pursue the AHA's suggestions to expedite pending cases. But the agency conceded it won't be able to meet a federal judge's requirement to eliminate the backlog by the end of 2020.
The CMS' payment formula in the first year places increased scrutiny on hospitals' charity care and bad debt reporting, but the agency isn't offering much detail on the audit process, which begins this fall.
The CMS' final inpatient pay rule ends a long proposed 25% rule affecting long-term care hospitals' Medicare reimbursements. The rule also finalized plans to overhaul the meaningful use program to offer incentives for interoperability.
The CMS has finalized plans to give hospices nearly double the raise they received in 2018. The agency will also make it easier to check data on the troubled Hospice Compare website.
The CMS will give post-acute care providers more than $900 million in collective raises next year, including a 2.4% increase for skilled-nursing facilities and 1.3% for inpatient rehab centers.
More than half of hospitals fail to comply with the CMS' sepsis treatment requirements, new data from the agency show.
In her first comments on Medicare for all, CMS Administrator Seema Verma came out strongly against such a plan. She called it unworkable, saying it could cause seniors to lose coverage and that the CMS will likely deny any single-payer state waivers.
The massive physician payment rule continues a trend of exempting a large number of doctors from MIPS.
The question now is whether the CMS will reconsider its waiver approvals or risk more lawsuits and potential derailment of work requirements.