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GME Fundamentals for Hospital Leaders

GME Fundamentals for Hospital Leaders is a resource document that explains the components of a graduate medical education (GME) enterprise and its core function within a teaching hospital. It is intended for teaching hospital leadership who do not work on GME issues day to day but would benefit from learning about some of the structural, operational,...

Community Health Worker Services: A Guide to Complying with Billing Requirements

Community health workers (CHWs), patient navigators (PNs), and peer advocates (peers) typically work in community or ambulatory settings to increase patient access to care by bridging the gap between health and social care services. While some organizations use these job titles interchangeably, others distinguish between them. Expanded labor supply and recent Federal and state policy changes have...

GNYHA Comments on Medicaid Community Engagement Requirement IFR

GNYHA submitted the attached comments in response to the interim final rule (IFR), Medicaid Program; Community Engagement Requirement for Certain Individuals, which the Centers for Medicare & Medicaid Services (CMS) issued on June 1, 2026. The IFR implements HR 1’s mandate that, effective January 1, 2027, adults aged 19-64 in the Affordable Care Act’s Medicaid...

Medicare Outpatient Prospective Payment System Proposed Rule for 2027

The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2027 Medicare outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) payment system proposed rule. CMS is proposing to reduce payments for 340B drugs based on the results of its recent hospital drug acquisition cost survey, shorten the recoupment timeframe...

CY 2027 OPPS Proposed Rule Hospital-Level Impacts

The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2027 Medicare outpatient prospective payment system (OPPS) and ambulatory surgical center payment system proposed rule. This tool provides a summary of CMS’s estimated hospital-level impacts (all provisions).

CMS Releases FY 2027 SNF PPS Final Rule

The Centers for Medicare & Medicaid Services (CMS) has released the fiscal year (FY) 2027 skilled nursing facility (SNF) prospective payment system (PPS) final rule. Under the rule, CMS will increase rates on October 1 by 2.4%, or about $883 million. CMS also finalized programmatic changes to the SNF quality reporting program (QRP), including removing...

DOH Seeks Hospital Temporary Staffing Information

The New York State Department of Health (DOH) is seeking information from hospitals on how temporary health care staff are utilized. DOH’s Hospital Utilization of Temporary Health Care Workers survey is located in the Health Commerce System under the Survey Management and Response Tool section. The survey is not mandatory. DOH would appreciate hospitals that...

DOH Requests PCMH Survey Responses to Evaluate Eligibility for Medicaid Enhanced Payments

The New York State Department of Health (DOH) is requesting New York State Patient-Centered Medical Home (PCMH)-recognized practices complete a survey by August 14. The goal of the survey is to verify the patient population served by each practice. DOH will use this information to evaluate eligibility for PCMH enhanced incentive payments and determine which...

Additional Resources for MAID

GNYHA has been in contact with outside organizations that maintain resources, including referral lists of providers and pharmacists willing to participate in Medical Aid in Dying (MAID). This document includes aggregated key links and phone numbers from the organizations’ websites.

Quarterly Legal and Compliance Meeting & Roundtable Luncheon

10:00 AM - 12:30 PM EDT

HRSA Announces Revised 340B Rebate Model Pilot Program

Despite staunch stakeholder opposition, the Health Resource Services Administration (HRSA) has announced that it will implement a 340B Rebate Model Pilot Program effective January 1, 2027. The Rebate Pilot will apply to the 25 drugs selected for CMS Medicare Drug Price Negotiation in 2026 and 2027. Manufacturers wishing to participate in the Rebate Pilot must...

IPPS Final Rule Includes 2.3% Rate Increase for Hospitals, Mandatory CJR-X Model

The Centers for Medicare & Medicaid Services (CMS) has released the Medicare Inpatient Prospective Payment System (IPPS) final rule for Federal Fiscal Year (FY) 2027, which begins October 1, 2026. CMS finalized a 2.3% increase in hospital operating payment rates and the Comprehensive Care for Joint Replacement Expanded (CJR-X) model, updated the Transforming Episode Accountability...