The Centers for Medicare & Medicaid Services (CMS) will host a webinar on May 9 to review its States Advancing All-Payer Health Equity and Development (AHEAD) Model’s primary care component, Primary Care AHEAD. CMS will cover key Primary Care AHEAD program topics, including how Primary Care AHEAD contributes to the AHEAD Model’s overall success, how...

The Centers for Medicare & Medicaid Services (CMS) recently released the Federal fiscal year (FY) 2025 skilled nursing facility (SNF) prospective payment system (PPS) proposed rule. CMS proposes various updates and policy changes, including: A net 4.1% payment rate increase A request for information (RFI) on potential changes to the Patient-Driven Payment Model’s (PDPM) non-therapy...

New York Governor Kathy Hochul held a press conference in Albany late this afternoon to announce a “conceptual agreement with legislative leaders on key priorities in the Fiscal Year 2025 New York State Budget.” The Governor’s high-level summary of the budget’s health care provisions lacked details, as evidenced by her press release. One important provision...

The Centers for Medicare & Medicaid Services (CMS) has released the inpatient psychiatric facility (IPF) prospective payment system (PPS) and the inpatient rehabilitation facility (IRF) PPS proposed rules for Federal fiscal year (FY) 2025, which begins October 1, 2024. CMS estimates that under the proposed rules, FY 2025 payments to IPF and IRF providers will...

The Centers for Medicare & Medicaid Services has released the inpatient psychiatric facility prospective payment system (PPS) and the inpatient rehabilitation facility (IRF) PPS proposed rules for Federal fiscal year (FY) 2025, which begins October 1, 2024. GNYHA has developed this tools for members to estimate the financial impacts of the IRF PPS proposed rule.

The Centers for Medicare & Medicaid Services has released the inpatient psychiatric facility (IPF) prospective payment system (PPS) and the inpatient rehabilitation facility PPS proposed rules for Federal fiscal year (FY) 2025, which begins October 1, 2024. This calculator reflects the estimated IPF PPS payment rates proposed for FY 2025.

At its April meeting, the Medicare Payment Advisory Commission (MedPAC) presented various approaches to update the inflation factor used in the physician fee schedule (PFS), shared initial findings on 340B drug payment rates, and discussed continued telehealth use and options to lower payments to inpatient rehabilitation facilities (IRFs) for select conditions. The Commission began a...

The New York State Department of Health (DOH) issued the attached health advisory with recommendations for investigation and response to patients with suspected highly pathogenic avian influenza (HPAI) A (H5N1) Virus. This advisory follows the recently confirmed human infection with HPIA A (H5N1) virus in the United States after exposure to presumably infected dairy cattle....