The association supports CMS' work to simplify enrollment and asks the agency to ensure equitable access to beneficiaries’ preferred health care providers.
view more »Association Comments on CY 2023 Physician Fee Schedule Proposed Rule
Sept. 12, 2022 ||The association urged CMS to adequately reimburse off-campus, provider-based departments; refine physician quality reporting; and codify a definition of essential hospitals.
view more »Association Urges CMS to Withdraw the MFAR
Jan. 31, 2020 ||In its submitted comments, the association outlines overarching and specific problems that necessitate withdrawal of the rule to protect the stability and viability of the Medicaid program.
view more »Association Comments on Plan to Rescind Medicaid Access Review
Sept. 13, 2019 ||America's Essential Hospitals warns the Centers for Medicare & Medicaid Services that its proposal will weaken federal oversight of Medicaid payment rates and undermine beneficiary access to care.
view more »Association Comments on Annual Medicare Inpatient Payment Rule
June 29, 2018 ||America's Essential Hospitals urged the Centers for Medicare & Medicaid Services to implement its Medicare disproportionate share hospital payment methodology and quality measurement programs in a way that accounts for the unique needs and patient populations served by essential hospitals.
view more »HRSA Finalizes Further Delay of 340B Rule
June 4, 2018 ||This is the latest of several delays of a rule that provides guidance on the calculation of ceiling prices and imposes civil monetary penalties on manufacturers who knowingly exceed them.
view more »Association Comments on Proposed Changes to Association Health Plans
March 6, 2018 ||In a March 6 comment letter, America's Essential Hospitals urged federal officials to ensure association health plans have proper oversight and cover all necessary services for beneficiaries.
view more »Association Comments on Draft 2019 Letter to Issuers in the Federally Facilitated Marketplace
Dec. 12, 2017 ||The association emphasized access to essential community providers within qualified health plan networks in its comments on the 2019 draft letter to issuers.
view more »Association: Add Hospital Services to Medicaid Access Reviews
Dec. 21, 2015 ||America's Essential Hospitals urges CMS to include hospital services among those subject to triennial state reviews to determine whether payments ensure adequate access.
view more »Association: 340B Proposed Guidance Threatens Access
Oct. 28, 2015 ||In comments to HRSA, the association says the proposal would harm care for the vulnerable by restricting the definition of a patient, adding requirements for hospital outpatient facility eligibility, and narrowing which drugs qualify for discounts.
view more »Association calls on CMS to consider the readiness of essential hospitals and challenges of caring for the vulnerable, and risk-adjust for SDS, in finalizing its proposed rule for new CCJR payment model.
view more »Association Highlights Underserved in 2016 OPPS Comments
Sept. 1, 2015 ||In comments on the CY 2016 OPPS proposed rule, the association calls on CMS to consider the unique challenges of caring for the most vulnerable, including in relation to the two-midnight policy and ambulatory payment classification.
view more »Hospital Groups: Make Meaningful Use Provisions Final
Aug. 12, 2015 ||America's Essential Hospitals joins other associations in calling for final action on a 90-day reporting period for 2015, but warns that the delay in a final rule has made other requirements impossible to achieve.
view more »Association Comments on FY 2016 IPPS Proposed Rule
June 16, 2015 ||Comments caution CMS about Medicare DSH payment cuts and urge CMS to ensure measures and methodologies used in quality reporting programs are adjusted for sociodemographic factors.
view more »Association Calls for More Flexibility in Meaningful Use Programs
June 16, 2015 ||In comments to CMS, America's Essential Hospitals also urged the agency to finalize a 90-day reporting period for all providers in 2015 and lower the threshold of the patient electronic access measure.
view more »In comments on the agency’s proposals for stage 3 of the EHR Incentive Programs, the association called on CMS to delay finalizing the proposed rule and to provide much-needed flexibility for providers in the program.
view more »Association Submits Comments on CY 2015 OPPS Proposed Rule
Sept. 3, 2014 ||The association urged CMS to revise its C-APC proposal and opposed its proposal to add a claims-based modifier for every outpatient service provided in off-campus provider-based departments.
view more »Association Comments on FY 2015 IPPS Proposed Rule
July 1, 2014 ||Comments cover topics such as Medicare disproportionate share hospital payment cuts and risk adjustment for socioeconomic status.
view more »Association Comments on Third-Party Premium Assistance Rule
May 13, 2014 ||Comments include requests to allow provider-supplemented premium assistance and cost-sharing for individuals obtaining marketplace coverage and to clarify that QHPs should accept premium and cost-sharing assistance from private, nonprofit foundations.
view more »CMS Finalizes Payment System for FQHCs
May 5, 2014 ||CMS released the final rule with comment period regarding the new Medicare FQHC prospective payment system. The payment system could increase Medicare payments to FQHCs by as much as 32 percent.
view more »Association Comments on Marketplace Quality Rating Standards
April 22, 2014 ||The association said that CMS should implement the QRS in a way that protects consumer access to ECPs in the marketplaces. It also urged CMS to ensure the measures used in the QRS are endorsed by the National Quality Forum and risk adjusted for socioeconomic factors.
view more »EHR Incentive Program Stage 1 Rules and Comments
Nov. 25, 2013 ||Standards, implementation specifications, and certification criteria for stage 1
view more »EHR Incentive Program Stage 2 Rules and Comments
Nov. 25, 2013 ||The final rule modifies stage 1 meaningful use criteria for hospitals and eligible professionals
view more »EHR Incentive Program Stage 3 Recommendations
Nov. 25, 2013 ||The ONC policy committee requested comments regarding stage 3 Meaningful Use criteria
view more »State Marketplace Comments, Rules, and Guidance
Nov. 25, 2013 ||The Affordable Care Act establishes state-based and regional health insurance exchanges
view more »Conditions of Participation (CoP) Rules and Comments
Nov. 25, 2013 ||The CoP set standards for health and safety, aim to improve health care quality and the safety of beneficiaries
view more »Emergency Medical Treatment & Labor Act (EMTALA) Rules and Comments
Nov. 25, 2013 ||Under EMTALA, hospitals are required to provide stabilizing medical services for patients
view more »Outpatient Prospective Payment System (OPPS) Rules and Comments
Nov. 25, 2013 ||OPPS is used by CMS for hospital outpatient services under Medicare
view more »Medicaid Premiums and Cost Sharing Rule and Comments
Nov. 25, 2013 ||Eligibility notices, benefits in alternative benefit plans, appeals process among rule's provisions
view more »Medicaid Section 1115 Demonstrations Rules and Comments
Nov. 25, 2013 ||Section 1115 projects give states additional authority to design, improve Medicaid and CHIP programs
view more »Medicaid Recovery Audit Contractors (RAC) Program Rules and Comments
Nov. 25, 2013 ||The Affordable Care Act expanded the RAC program to Medicaid
view more »Quality Measures for Medicaid-Eligible Adults Notice and Comments
Nov. 25, 2013 ||Measures are intended for voluntary use by state Medicaid agencies
view more »Hospital-Acquired Conditions (HACs) Rules and Comments
Nov. 25, 2013 ||Rule implements proposed provisions in the Affordable Care Act
view more »Graduate Medical Education (GME) Rule and Comments
Nov. 25, 2013 ||Proposed rule clarifies costs, payments associated with programs are not federally reimbursable under Medicaid
view more »Medicaid Outpatient Regulation and Comments
Nov. 25, 2013 ||Clarifies the Outpatient Clinic and Hospital Facility Services definition, Upper Payment Limit.
view more »Medicaid Equal Access Rule and Comments
Nov. 25, 2013 ||Rule proposes standardized, transparent process for assured access to Medicaid services in states
view more »Medicaid Public Provider Cost Limit Rule and Summary
Nov. 25, 2013 ||This rule clarifies several provisions related to the cost limit for public providers
view more »Medicaid Primary Care Payment Rules and Comments
Nov. 25, 2013 ||The final rule implements the Affordable Care Act's primary care payment bump
view more »DSH Audit and Reporting Rule Comments and Requirements
Nov. 25, 2013 ||The rule outlines reporting and cost parameters for states and individual hospitals
view more »