The Centers for Medicare & Medicaid Services (CMS) has mandated new hospital price transparency requirements for 2024. Providers must use one of the CMS templates encoded with current and new data elements by July 1, 2024, to be compliant. GNYHA will convene a workgroup on April 25 for members to discuss their progress meeting these…

GNYHA will host its next Finance & Reimbursement Committee meeting on April 26 at 10:00 a.m. Gene Nickerson from National Government Services will discuss implementation of the recent Centers for Medicare & Medicaid Services transmittal addressing cost report settlements stemming from the Allina Medicare disproportionate share hospital (DSH) Supreme Court decision, as well as any…

GNYHA anticipates that New York State will apply for the new Centers for Medicare & Medicaid Services (CMS) Innovation Center’s (CMMI) total cost of care and hospital global budget initiative—called the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model—for the downstate region. We are pleased that staff from CMMI and the New York…

On March 4, GNYHA will host a member roundtable to discuss how Medicare Advantage (MA) plans are implementing the calendar year (CY) 2024 final rule utilization management requirements. This is a follow-up to the December 19 roundtable in which we reviewed the impending CY 2024 changes. The upcoming discussion will focus on your 2024 experiences…