This year's report includes the commission’s statutorily required annual analysis of Medicaid disproportionate share hospital payments, as well as chapters on Medicaid managed care and telehealth.

In response to the request for information, the association encouraged flexibility and a focus on hospitals treating high numbers of complex patients.

The rule includes additional cuts to new off-campus, provider-based departments (PBDs), as well as physician payment and quality program changes.

The committees were convened at the direction of the Department of Health and Human Services and include representatives from members of America’s Essential Hospitals.