GNYHA has submitted the attached comments in response to the Centers for Medicare & Medicaid Services (CMS) Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH) Request for Information (RFI). The CRUSH RFI solicited stakeholder feedback on potential future rulemaking and other programmatic changes to help CMS prevent fraud. Our comments addressed a few specific issues raised...

The New York State Legislature has passed a fourth budget extender that lasts until April 20. Budget negotiations remain stalled over issues such as auto insurance reforms and potential changes to the Climate Leadership and Community Protection Act. We expect the Legislature to pass more budget extenders over the next several weeks as they remain...

GNYHA provides members with the tools to develop and maintain a workforce that delivers high-quality patient care and biomedical innovations. This webpage highlights Federal and state funding opportunities currently accepting applications and details future funding opportunities for which members are eligible to apply. Open Funding Opportunities This section is updated regularly and features funding opportunities...

This GNYHA-developed resource contains enrollment figures across the following plan types: Medicare Advantage, Child Health Plus, Health & Recovery Plans (HARP), Medicaid Managed Care including HARP, Managed Long Term Care (MLTC), Medicaid Advantage, and HIV/SNP. The data is aggregated and compiled from the Department of Health and values are calculated on a rolling monthly and...

GNYHA has developed the attached Ambulatory Surgical Center (ASC) “calculator” to help facilities appropriately estimate ASC payment rates by HCPCS code. This file reflects the ASC payment rates effective April 1, 2026.

GNYHA has developed the attached outpatient prospective payment system (OPPS) “calculator” to help facilities appropriately estimate hospital-specific OPPS payments. This file reflects the OPPS payment rates effective April 1, 2026.

The Centers for Medicare & Medicaid Services (CMS) recently issued the Federal fiscal year (FY) 2027 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) proposed rule. For FY 2027, CMS proposes a 2.4% net payment rate and multiple changes to the SNF quality reporting (QRP) and value-based purchasing (VBP) programs. CMS’s QRP proposals include removing...

The Centers for Medicare & Medicaid Services (CMS) has released the Medicare Inpatient Prospective Payment System (IPPS) proposed rule for Federal Fiscal Year (FY) 2027, which begins October 1, 2026. The proposed rule includes a 2.4% increase in hospital operating payment rates and the first national mandatory bundled payment policy for hip and knee replacements....

The Centers for Medicare & Medicaid Services (CMS) issued a final rule requiring health care providers and health plans to adopt and use standardized electronic formats for claims attachments, replacing manual processes such as fax, mail, and portal uploads. The rule establishes technical standards for submitting and requesting claims-related documentation—an area where the Health Insurance...