Action Alert
As Congress begins its scheduled district and state work periods, the AHA is asking hospital and health system leaders to contact their lawmakers and urge them…
Appropriate Use Criteria (AUC) Program: Requirements for Furnishing Professionals
The Protecting Access to Medicare Act (PAMA) requires the Centers for Medicare & Medicaid Services (CMS) to establish a program that promotes AUC for advanced diagnostic imaging. AUC are evidence-based criteria that assist professionals who order and furnish certain imaging services to make the most appropriate treatment decisions for a specific clinical condition.
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Fact Sheets
It is broadly acknowledged that Medicare reimburses hospitals less than the cost of providing care and their reimbursement rates are non-negotiable.
AHA Center for Health Innovation Market Scan
Humana recently said it plans to open about 100 new primary care clinics in a second joint venture with the private equity firm Welsh, Carson, Anderson…
Letter/Comment
AHA urges CMS to take swift action to hold Medicare Advantage (MA) plans accountable for inappropriately and illegally restricting beneficiary access to…
Advancing Health Podcast
Medicare Advantage or MA Plans are another way for beneficiaries to get Medicare Part A and Part B coverage delivered through private insurance companies.