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 January 1, 2025.

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 January 1, 2025.

This bulletin updates GNYHA’s “One-Stop Shop” resource of New York State Department of Health (DOH) translated patient-facing documents, highlights a 2006 DOH “Dear Administrator Letter (DAL)” on hospital language access requirements, and details a final rule issued by the Centers for Medicare & Medicaid Services (CMS) on implementing hospital health equity plan (HEP) provisions of...

New York Governor Kathy Hochul’s State of the State address today outlined her legislative agenda for the year. Her remarks focused heavily on public safety and affordability. Before you peruse the below summary, there was no mention of Medicaid payments. The Governor will address that issue in her upcoming State budget proposal. This remains GNYHA’s...

GNYHA is pleased to announce the release of the fifth installment of our Health Law Fundamentals series, Understanding Health Care Compliance. This new program, moderated by Lori Lahn, GNYHA’s Assistant Vice President, Legal, Regulatory, and Professional Affairs, features three health care compliance professionals from our membership: Cassandra Andrews-Jackson, One Brooklyn Health System’s Chief Compliance Officer;...

A new GNYHA-commissioned report (attached) from Ernst & Young LLP (E&Y) shows that New York City (NYC) voluntary hospitals provided $9 billion in community benefits in 2022, representing 17.9% of their operating expenses. This is notably higher than the national average of 10.1% in 2021, the most recent year that national data is available. The...