The agency will not enforce a surprise billing requirement that requires good faith estimates to include cost estimates from co-providers and co-facilities.
view more »The new document explains various provisions under part II surprise billing regulations, including that all financial assistance should be reflected in the good faith estimate regardless of the amount or type of discount. The new regulations take effect Jan. 1, 2022.
view more »Association Comments on Second Part of Surprise Billing Rules
Dec. 7, 2021 ||America’s Essential Hospitals commented on the second interim final rule implementing the No Surprises Act. The association urged HHS to revise good faith estimate requirements and create an IDR process that does not favor payers over providers.
view more »Released on Oct. 7, part II of the No Surprises Act interim final rule outlines the independent dispute resolution process for out-of-network services and protections for uninsured and self-pay patients.
view more »Register for Reimbursement of COVID-19 Services to Uninsured
April 28, 2020 ||Hospitals can now register as participating providers to receive reimbursement for COVID-19 testing and treatment services furnished to uninsured patients on or after Feb. 4. Participating providers can begin submitting claims May 6.
view more »HHS Details Allocations for COVID-19 Provider Relief Funds
April 23, 2020 ||HHS announced additional detail on how the agency intends to distribute the COVID-19 relief fund to hospitals and other providers. HHS will allocate funds through a general approach and use a targeted approach for certain hospitals, rural providers, and Indian Health Services.
view more »Study Finds Increase in Uninsured Children
Nov. 1, 2019 ||This marks the second consecutive year the uninsured rate for children has increased following continuous decreases after enactment of the Affordable Care Act. Only North Dakota saw a decrease in the uninsured rate for children.
view more »Census Bureau: Uninsured Rate Increased in 2018
Sept. 20, 2019 ||The rate of Americans without health insurance was 8.5 percent in 2018, up from 7.9 percent the previous year.
view more »The retrospective study used AHRQ Healthcare Cost and Utilization Project data from 2011 to 2015 to estimate the effects of Medicaid coverage expansion on hospital utilization rates, costs, and patient illness severity.
view more »Study Finds ACA Marketplace Improved Coverage, Access
April 30, 2018 ||Researchers found a decline in uninsurance rates and an increase in medical service use, access, and diagnosis of certain chronic conditions among previously uninsured adults.
view more »Statement on CBO Score of American Health Care Act
March 13, 2017 ||America's Essential Hospitals says the Congressional Budget Office analysis of coverage losses under the American Health Care Act underscores the urgent need for Congress to rethink its strategy on repealing and replacing the Affordable Care Act.
view more »$32 Million Available to Help Connect Kids to Coverage
Nov. 17, 2015 ||Fourth cycle of grants through the Connecting Kids to Coverage program supports work to link eligible children with Medicaid, CHIP coverage; proposals due Jan. 20, 2016.
view more »Participants learned about HRSA's guidance on the 340B Drug Pricing Program and how it will affect their hospital.
view more »CBO: ACA Repeal Would Cost 24 Million Americans Health Insurance
June 24, 2015 ||CBO also found that if a full ACA repeal took effect on Jan. 1, 2016, the federal deficit would increase by $137 billion between 2016 and 2025.
view more »Learn more about association and member efforts to defend the 340B Drug Pricing Program
view more »Association filed Jan. 28 amicus brief in Supreme Court case supporting insurance subsidies through federally facilitated health insurance marketplace.
view more »What are we doing to demonstrate support for ACA insurance coverage subsidies? We filed and amicas brief for King v. Burwell affirming the position. Here's what we said and why.
view more »Agency reverts to position recommended by America's Essential Hospitals to define uninsured status at the service level for purposes of calculating DSH payments; sets Dec. 31 as start of new policy
view more »CMS returns to a pre-2008 definition of uninsured that includes whether a patient is covered for a particular service, among other changes.
view more »Association to Survey Members on Uncompensated Care
Nov. 12, 2014 ||The survey aims to capture the impact of ACA coverage expansion and add to association advocacy efforts with timely information on members' uncompensated care.
view more »Gage Award Winner HITS the Streets to Connect with the Uninsured
July 22, 2014 ||Memorial Healthcare System's Health Intervention with Targeted Services Program used targeted education, preventive care, and eligibility assistance to enroll uninsured and underinsured patients, reduce uncompensated care costs, and increase revenue.
view more »The Story of Our History Frames Next Chapter
June 26, 2014 ||Through interviews and images, new book and documentary chronicle 33-year history of America's Essential Hospitals and its transition from National Association of Public Hospitals and Health Systems.
view more »Medicaid Expansion: Lessons Learned from Expansion States
May 20, 2014 ||Government relations staff will share their experiences with Medicaid expansion, including challenges and best practices
view more »CBO Estimates Lower Cost, Higher Coverage from ACA
April 22, 2014 ||CBO estimated 2016 marketplace premiums will be 15 percent less than they were estimated to be in 2009. This should mean the ACA will cost $104 billion less to the federal government over the next decade than previously projected.
view more »America’s Essential Hospitals Honors Capitol Hill Staff
April 3, 2014 ||Christine Capito Burch awards, named for association's former executive director, recognize congressional staff who have demonstrated health care expertise and a commitment to vulnerable patients and essential hospitals.
view more »Association Recognizes Physician, Clinician Leaders in Congress
April 3, 2014 ||Awards by America's Essential Hospitals recognize congressional lawmakers who have worked or trained in member institutions and demonstrate leadership on Capitol Hill for vulnerable patients and essential hospitals.
view more »Resources for Implementing Hospital Presumptive Eligibility
March 25, 2014 ||CMS has developed several resources to help hospitals implement presumptive eligibility, including model agreements between the state and hospitals, a model training template for states, a model application for hospitals, and FAQs.
view more »CMS Releases Basic Health Plan Final Rule
March 18, 2014 ||The final rule establishes procedures for enrollment and certification. CMS also released its final methodology for determining federal payments to states establishing a BHP program in 2015.
view more »Intentional Uninsurance: Misguided and Unintentionally Selfish
March 11, 2014 ||Recently, a prominent Member of Congress announced that he would forgo health insurance coverage. While he does so in an effort to protect individual liberty, the ultimate cost of choosing to go insured is borne by the rest of us - taxpayers and the insured alike.
view more »Medicaid Expansion: Effective Advocacy Strategies
March 5, 2014 ||Government relations experts from essential hospitals shared strategies they have used to move their state toward Medicaid expansion
view more »Marketplace Enrollment Increases in January
Feb. 19, 2014 ||Nearly 3.3 million people have selected plans through the marketplaces since they opened Oct. 1, 2013. This number represents 45 percent of the 7.3 million people who were eligible to enroll in a marketplace plan. In addition, 3.2 million people who submitted applications through the marketplaces were determined to be eligible for Medicaid or the Children’s Health Insurance Program (CHIP).
view more »Uninsured Rate Dropped in January, Gallup Says
Jan. 27, 2014 ||A Jan.23 Gallup survey found that the percentage of uninsured adults nationally dropped 1.2 percentage points in January, from 17.3 percent in December to 16.1 percent in January. Gallup said the percentage of uninsured adults for January is “slightly lower than what Gallup has measured in any month since December 2012.”
view more »Helping Patients Transition to Marketplace Coverage: Useful Information and Resources
Dec. 31, 2013 ||Guides can help providers troubleshoot enrollment problems
view more »Statement on House Action to Reduce, Delay Medicaid DSH Cuts
Dec. 12, 2013 ||Calls action "important step toward protecting access to vital health care and community services for millions"
view more »Millions of vulnerable patients "in a terrible bind" with no access to expanded coverage, billions less in funding for their care
view more »America’s Essential Hospitals Submits Comments on Basic Health Program Proposed Rule
Nov. 26, 2013 ||America’s Essential Hospitals submitted comments Nov. 25 on the Basic Health Program proposed rule.
view more »CCIIO Releases New FAQ on Third-party Payments of Premiums for QHPs
Nov. 13, 2013 ||HHS encouraged issuers to reject premium payments from third parties
view more »More Than 5 Million People Will Fall Into Coverage Gap, According to Kaiser Analysis
Oct. 22, 2013 ||Providers that fill a safety net role will be stretched thin in states that do not expand Medicaid
view more »Estimates 5.2 million uninsured fall into coverage gap
view more »Open Enrollment Begins in Health Insurance Marketplaces
Oct. 2, 2013 ||Essential hospitals to play important role with experience caring for the uninsured
view more »CMS Releases Basic Health Plan Proposed Rule
Sept. 24, 2013 ||Proposed rule establishes framework for several program elements
view more »Statement on Medicaid Expansion Report
Aug. 20, 2013 ||Says Bloomberg Government report underscores "uncertain and deeply troubling future for vulnerable patients"
view more »Hospitals Call for Medicaid DSH Cut Delay as Policymakers Revisit Coverage Mandates
July 10, 2013 ||Payments even more important as prospects for full expansion dim
view more »Statement on Senate Immigration Reform Bill
June 27, 2013 ||Encourages Congress to consider legislation to address "yawning gaps" in access to care for millions of people
view more »NAPH Announces Transformation to ‘America’s Essential Hospitals’
June 20, 2013 ||Says new name reflects members' common purpose to serve all people, communities with essential services
view more »Statement on CMS proposal to implement new payment adjustment methodology for Medicare DSH
April 26, 2013 ||FOR IMMEDIATE RELEASE April 26, 2013 Statement attributable to: Beth Feldpush Senior Vice President for Policy and Advocacy National Association of Public Hospitals and Health Systems WASHINGTON – “NAPH is deeply disappointed with how CMS has proposed to calculate hospitals’ uncompensated care costs. While we share the agency’s concerns about the reliability of S10 data,
view more »CMS Issues Additional Guidance on Medicaid Expansion-enhanced FMAP Final Rule, Use of Premium Support Guidance; IRS Issues CHNAs Proposed Rule
April 10, 2013 ||Association summary of rules, guidance
view more »Says an estimated $1.6 billion in cuts to state funding for mental health services has exacerbated problem
view more »One-year, federally supported project to study evidence-based best practices for improving maternal, infant health
view more »Achieving reform's goal of broad coverage expansion must remain national priority, association says
view more »Analysis show impact of Supreme Court decision on hospitals and vulnerable patients
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