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Study finds less than 40% of Medicare beneficiaries with OUD receive standard care
A Health Affairs study published Sept. 2 found that less than 40% of Medicare beneficiaries with opioid use disorder received standard care in alignment with quality measures.
AHA study finds HOPDs treat sicker patients than independent physician offices
The AHA Sept. 3 released a study conducted by KNG Health Consulting that found Medicare patients who receive care in a hospital outpatient department are more likely to come from geographically isolated and medically underserved communities and be sicker and more complex to treat than Medicare patients treated in independent physician offices.
AHA praises legislation extending incentive payments for Medicare Advanced Alternative Payment Models
The AHA Aug. 28 expressed support for the Preserving Patient Access to Accountable Care Act in comments to House and Senate sponsors of the bill.
HHS, CMS to form committee providing federal health program recommendations
The Department of Health and Human Services and the Centers for Medicare & Medicaid Services Aug. 21 announced the creation of a Healthcare Advisory Committee for the Secretary of HHS and Administrator of CMS.
Study shows Medicare Part D changes could lead to higher cost sharing for some beneficiaries
A JAMA study published Aug. 18 found that plan design changes by Medicare Part D insurers, particularly for Medicare Advantage plans, following passage of the Inflation Reduction Act of 2022 could lead to higher cost sharing for some beneficiaries who do not reach the $2,000 out-of-pocket maximum for prescription drug coverage in 2025.
Chair File: The OBBBA and What’s Next for Health Care
The recently enacted One Big Beautiful Bill Act will bring big changes to health care.
AHA comments on IPF proposed rule for FY 2026
The AHA June 10 commented on the fiscal year 2026 inpatient psychiatric facility proposed rule, expressing support for several provisions such as increases in the facility-level adjustments.
AHA comments to CMS on FY 2026 IPPS proposal
The AHA commented to the Centers for Medicare & Medicaid Services June 10 on the fiscal year 2026 inpatient prospective payment system proposed rule (https://www.aha.org/news/headline/2025-04-11-cms-issues-hospital-ipps-proposed-rule-fy-2026), expressing support for several provisions, including a proposed increase in disproportionate share hospital payments and several aspects of the agency’s quality-related proposals.
Reduced FY 2026 LTCH payment updates ‘inadequate,’ AHA tells CMS
The AHA expressed concerns to the Centers for Medicare & Medicaid Services June 10 on payment updates for the fiscal year 2026 proposed rule for the long-term care hospital prospective payment system. The updates include an insufficient market basket update and reduced overall payments to LTCHs due to an increase in the high-cost outlier fixed-loss amount.
House subcommittees hold joint hearing on status of MA
The House Ways and Means Subcommittees on Health and Oversight held a joint hearing today to discuss lessons learned, challenges and opportunities to improve the Medicare Advantage program.