Hospitals want CMS to correct MA plan policies on coverage

The American Hospital Association is asking the Centers for Medicare and Medicaid Services to crack down on Medicare Advantage insurers it says are blatantly flaunting CMS coverage rules. "We expressed…

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AHA Urges CMS to Abolish Site-Neutral, 340B Payment Cuts in OPPS

The American Hospital Association (AHA) questioned the legality of site-neutral and 340B payment policies in the Outpatient Prospective Payment System (OPPS), arguing the proposals would “have a chilling effect on…

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Price Gouging in the ER: Patients Often Overcharged

Emergency departments across the United States charge adult patients 340% more than what Medicare pays for services, but minorities and the uninsured receive the biggest bills, according to new research…

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