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Fact Sheet: Hospital Outpatient Department Billing Requirements
Congress is considering legislation that would change current billing practices for Medicare and the commercial insurance market to require each off-campus hospital outpatient department (HOPD) to be assigned a unique NPI as a condition of payment.
Fact Sheet: Provider/Health Plan Contracting Provisions Reduce Access to Care
The Bipartisan Primary Care and Health Workforce Expansion Act (S. 2840) includes a provision that would prevent doctors and hospitals from negotiating reasonable agreements with commercial health insurance plans.
Fact Sheet: Medical Debt
The Issue
Two trends in health insurance coverage are driving an increase in medical debt: inadequate hea
Report: Examining the Real Factors Driving Physician Practice Acquisition
Policymakers and others have expressed growing concern about the trend of physician practices becoming affiliated with hospitals and health systems.
Workforce Shortages Delay Patient Discharges and Exacerbate Providers’ Severe Financial Challenges
Significant workforce shortages at facilities, such as those in post-acute and behavioral health, is making it more difficult for hospitals to efficiently and appropriately discharge patients. Hospitals have to bear the costs of caring for patients for those excess days without any reimbursement.
Fact Sheet: Advocacy Priorities for Fall 2022
America’s hospitals and health systems continue to deal with the difficult challenges of high inflation and ongoing effects of the COVID-19 pandemic. Specifically, hospitals are facing significant increases in costs of labor from workforce shortages, drugs, equipment and supplies (including food and energy costs) that are threatening their stability and ability to provide access to high quality health care services. The AHA has developed resources that hospital leaders can use to advocate on these important issues.
Fact Sheet: AHA Urges Congress to Call on CMS to Stop Cuts to Hospitals
America’s hospitals and health systems continue to face unprecedented financial pressures due to the ongoing effects of the COVID-19 pandemic and current inflationary economy. Historic inflation has extended and heightened the already severe economic instability brought on by the pandemic resulting in razor thin operating margins from massive surges in input costs, including a struggling workforce, drug costs, supplies and equipment.
Fact Sheet: Strengthening the Health Care Workforce
The AHA urges Congress and the Biden Administration to prioritize funding for the infrastructure that supports the health care workforce needs of the country in the wake of the COVID-19 pandemic and into the future.
Key Provisions in the Infrastructure Investment and Jobs Act
The following are highlights of provisions included in the Infrastructure Investment and Jobs Act that may affect hospitals and health systems and the communities they serve.
Key Messages on Consolidation
The financial health of the hospital field has been shaken during the pandemic. Health systems have demonstrated benefits. Mergers expand the capacity of smaller and rural hospitals. A focus on hospital consolidation ignores larger market trends. The cost of providing care continues to increase. Critics of mergers too often rely on incomplete evidence. Commercial insurers do not always pass on savings from lower hospital prices.