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AHA makes recommendations supporting CMS’ proposed MAO data collection and audit protocol

The AHA Nov. 11 voiced strong support for the Centers for Medicare & Medicaid Services’ proposed plan for data collection and reporting requirements for Medicare Advantage organizations. In addition, the AHA supports CMS’ proposed audit protocol, which would assess MAO compliance with MA utilization management program requirements codified in the calendar year 2024 MA final rule.

Providers won over 7 in 10 NSA payment disputes in first half of 2023, CMS data show

Gain valuable insights from CMS data, indicating that health care providers and facilities won 72% and 79% of payment disputes in the first and second quarters of 2023. Explore the latest trends in payment determination outcomes.

DOJ announces task force on health care monopolies and collusion

The Department of Justice May 9 announced the formation of a task force focusing on competition concerns in health care.

AHA blog counters myth that hospitals are not reporting enough data

“Imagine if the government required health insurance and drug companies to account for every dollar they spent, audit those data, and publicly report those numbers,” write AHA’s Bharath Krishnamurthy, director of health analytics and policy, and Aaron Wesolowski, vice president of research strategy and policy communications.

Costs Rising? A Strategic Partnership Can Offer Solutions

Read a sponsored blog from Owens & Minor to learn how strategic partnerships can help hospitals lower costs, improve supply chain resilience, and improve operational efficiency.