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Medicare
WHA advocates for our members on initiatives and reforms related to Medicare payment.
WHA Contact
Molly Wiegel
Senior Vice President of Finance, Chief Operating Officer
608-274-1820
EMAIL:
Molly Wiegel
Proposed and Final Rules/Summaries
Home Health
Prospective Payment System (PPS) Inpatient
Prospective Payment System (PPS) Inpatient Psychiatric
Prospective Payment System (PPS) Long-Term Care Hospital
Prospective Payment System (PPS) Outpatient
Prospective Payment System (PPS) Rehab
Prospective Payment System (PPS) Skilled Nursing Facility
Key Resources
09.08.2023
WHA Comment Letter - 340B Remedy
05.18.2023
WHA Letter re: Concerns with 340B, Site-Neutral Proposals
04.13.2023
WHA Letter to CMS re: Medicare Advantage Program 2024
03.13.2023
WHA Comment Letter on MS 0057-P
12.08.2022
Issue Paper: Hospitals Face Challenging Fiscal Outlook
09.28.2022
Issue Paper: Protect Rural & Value-Based Care Models
09.28.2022
Coalition Letter to Cong. Delegation re: ARCH and Rural Hospital Support Act
09.15.2022
WHA Letter to CMS re: 340B Cuts
06.17.2022
Comment Letter: FY 2023 Inpatient Rule
04.27.2022
Issue Paper: Hospitals Facing Mounting Fiscal Pressures
03.21.2022
Letter to Congress Re: Hospital at Home Program
06.30.2021
Letter to CMS: Proposed 2022 IPPS
03.09.2020
Letter to CMS re: 340B Hospital Acquisition Cost Survey
01.08.2020
Letter to CMS: CMS–1720–P Proposed Rule—Modernizing and Clarifying the Physician Self-Referral Regulations
Newsletter Articles and Press Releases
11.07.2024
CMS Issues Final Outpatient Rule with new COPs for Obstetrical Services and Slightly Enhanced Paymen
10.08.2024
Federal Audit Finds Three Insurers Overcharged the Medicare Program
10.03.2024
Federal Audit Finds Three Insurers Overcharged the Medicare Program
08.08.2024
CMS Issues Final 2025 Inpatient Rule
03.07.2024
Congress Poised to Offset Medicare Physician Payment Cuts, Extend MDH and LVH Programs through end o
11.16.2023
Lawsuit Filed Against UnitedHealth Group, Subsidiary for Use of AI to Deny Care
11.16.2023
Regulatory Burden Impedes Efforts to Improve Patient Outcomes
08.31.2023
U.S. OIG Reveals Strategic Plan for Oversight of Medicare and Medicaid Managed Care
05.25.2023
As Hospitals Face Continued Financial Challenges, New Report Highlights Difficulties in Receiving Pa
05.11.2023
MGMA Survey Highlights Prior Authorization Challenges
04.13.2023
CMS Finalizes Rule to Limit Restrictive Medicare Advantage Plan Processes
03.30.2023
New AHA Report Highlights Value of Hospital Outpatient Departments and Danger of "Site-Neutral" Paym
09.22.2022
CMS Issues Final Inpatient Rule, New Health Equity Standards Effective Jan. 1, 2023
09.15.2022
WHA-Supported Bill to Improve Medicare Advantage Prior Authorization Clears U.S. House of Representa
07.28.2022
WHA-Supported Bill to Improve Medicare Advantage Prior Authorization Clears House Committee
03.21.2022
2022WHA-Fed-Hospital-At-Home-Support3-21
03.10.2022
WHA Urges CMS to Improve Prior Authorization and Other Insurer Issues in Proposed Medicare Advantage
03.08.2022
2022WHAComment-CMS4192-3-4
01.13.2022
Senate Committee Hears Hospital-at-Home Legislation
12.09.2021
House Passes Legislation to Avert Hospital Medicare Cuts
11.18.2021
WHA Letter re: Medicare Advantage Prior Authorization
11.18.2021
WHA Resource Spotlight: WHA Member Portal Finance Reports
11.18.2021
WHA Urges Wis. Congressional Delegation to Support Legislation Streamlining Medicare Advantage Prior
08.05.2021
CMS Issues Final 2022 Inpatient Rule
07.29.2021
WI Health Care Coalition - PROTECT 340B
07.22.2021
Proposed 2022 CMS Outpatient Rule Includes Higher Fines for Price Transparency Rule Violations
07.15.2021
CMS Releases Medicare Physician Fee Schedule Proposed Rule
07.01.2021
U.S. Supreme Court Declines to Hear AHA Site-Neutral Case
07.01.2021
WHA Submits IPPS 2022 Comment Letter
06.30.2021
2021WHA-IPPS2022CommentLetter6-28
05.06.2021
New CMS Medicare Certification will Further Enhance WHA Information Center Data and Analytics
04.15.2021
New Study Shows Site Neutral Policies May Adversely Affect Access to Care
03.25.2021
Congress Averts 2% Sequester Cuts, Fixes Rural Health Clinic Glitch
01.28.2021
CMS Releases Hospital Survey Priorities
12.10.2020
CMS Releases Final Physician Fee Schedule Rule for Calendar Year 2021
10.08.2020
WHA Urges CMS to Revise Proposed CY 2021 Physician Fee Schedule Rule
10.01.2020
Bill to Avert Government Shutdown Extends Important Health Care Programs
07.23.2020
Appeals Court Sides with Federal Government on Site-Neutral Payment Cuts
06.25.2020
CELEBRATING 100 Years: 1965 – Medicare and Medicaid
Other Resources
AHA Medicare information
Centers for Medicare and Medicaid Services