Medicare

IHA is focused on protecting the Medicare program from drastic funding cuts and harmful reforms. Additional cuts would force Illinois hospitals to cut services, reducing patients’ access to care.

Large family

The Impact of Medicare in Illinois

2.1m Medicare beneficiaries
40.2% of inpatient admissions
29.7% of outpatient visits
  • Comment Letters
  • MEDPAC
Nov 29, 2019

Comments on Proposed 340B Provider Survey

IHA commented on the proposed collection of 340B provider acquisition costs.

Nov 21, 2019

340B Guidance and Template Letter

IHA recommends 340B covered entities preserve their right to appeal current/future Medicare claims involving 340B drugs reimbursed at any level below the statutorily prescribed rate since Jan. 2018.

Sep 27, 2019

OPPS Price Transparency Comments

IHA commented on on the proposed rule that would establish new price transparency requirements.

Sep 27, 2019

CY2020 OPPS Comment Letter

IHA commented on the proposed rule establishing new policies and payment rates for hospital outpatient and ambulatory surgical services for calendar year (CY) 2020.

Sep 16, 2019

IHA Submits Comments to CMS on Proposed Rule Establishing Two New Specialty Care Models

IHA submitted comments to CMS on the the proposed rule establishing two new specialty care models specific to
radiation oncology and end-stage renal disease.

Sep 09, 2019

Proposed Rule for Medicare Home Health Service for CY 2020

IHA submitted comments on the proposed rule establishing new policies and payment rates for Medicare home health service for CY 2020. The proposed rule contains four policies that raise concerns.

Jun 24, 2019

IHA Comment Letter to CMS on Medicare: Hospital Inpatient Acute and Long-Term

IHA submitted comments to CMS on the Medicare Program: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System.

Jun 17, 2019

IHA Submits Comments to CMS Regarding FFY 2020 Medicare IRF Proposed Payment Rule

IHA submitted comments to CMS addressing three specific proposals contained in the agency’s FFY 2020 proposed Medicare inpatient rehabilitation payment rule.

Nov 19, 2018

IHA Comment Letter: 340B Ceiling Prices

Comment letter to the Health Resources and Services Administration encouraging the agency to publish its final rule in time to meet the Jan. 1, 2019 proposed date.

Nov 16, 2018

340B Drug Ceiling Price Effective Date

Comments due to HRSA by Nov. 23

Sep 24, 2018

CY 2019 OPPS/ASC Proposed Rule

IHA submits comments to CMS addressing specific provisions of the proposed Medicare Outpatient Prospective Payment System.

Sep 10, 2018

IHA Letter to CMS re: PFS and QPP

IHA comments on CMS’ proposed rule on new policies/payment rates for Medicare Physicians Fee Schedule and proposed changes to the Quality Payment Program.

Aug 31, 2018

Medicare Home Health Services Proposed Rule

Letter to CMS on the proposed rule establishing new policies and payment rates for Medicare home health services for CY2019.

Jun 22, 2018

Proposed Changes to Medicare Inpatient Rehabilitation PPS

IHA comment letter to CMS re: proposed changes to the Medicare Inpatient Rehabilitation Prospective Payment Systems.

Jun 22, 2018

Proposed Changes to Medicare Inpatient Acute and Long-Term Care PPS

IHA comment letter to CMS re: proposed changes to the Medicare Inpatient Acute and Long-Term Care Prospective Payment Systems.

Sep 11, 2017

Physicians Fee Schedule Payment Changes

IHA's comment letter identifies concerns over a proposed rule revising payment policies under the Physician Fee Schedule and other proposed changes to Medicare Part B.

Sep 11, 2017

Outpatient PPS Payment Changes

IHA opposes reduced Medicare Part B payments for drugs acquired through the 340B Drug Pricing Program and raises other concerns over proposals impacting outpatient and ambulatory surgical services.

Aug 21, 2017

Quality Payment Program

IHA outlines support, concerns and recommendations for improvement in a comment letter regarding a proposed rule continuing the Medicare Access and CHIP Reauthorization Act of 2015.

Jun 12, 2017

Inpatient Services Proposed Rule

IHA's comment letter identifies concerns with proposed new policies and payment rates for acute and long-term care acute hospital inpatient services.

Apr 13, 2017

WPS Polysomnography

An IHA password is required to view the official response to IHA's comment letter regarding Local Coverage Determination L36839 for polysomnography and other sleep studies.

Apr 13, 2017

Sleep Studies

IHA's comment letter addresses Local Coverage Determination L36839 for polysomnography and other sleep studies. An IHA password is required to view this letter.

Mar 31, 2016

Home Health Authorization

IHA's comment letter asks the Centers for Medicare & Medicaid Services to suspend efforts to implement a prior-authorization process for home health services, which would delay needed care.

Apr 04, 2019

Comment Letter to MedPAC

IHA submitted its comment letter to the Medicare Payment Advisory Commission (MedPAC) in anticipation of its April meeting to be held today and Friday, April 4 & 5 in Washington D.C.

Jan 16, 2019

MedPAC Comment Letter - January

IHA comment letter to MedPAC referencing their January meeting agenda, 340B program, emergency services in rural communities, and site-neutral policy.

Dec 05, 2018

December Comment Letter

IHA's comment letter to the Medicare Payment Advisory Committee on December meeting items and other issues.

Oct 31, 2018

November Meeting Comment Letter

IHA's comment letter to the Medicare Payment Advisory Committee addressing issues to be discussed at its November meeting.

Oct 04, 2018

October Meeting Comment Letter

IHA comment letter to the Medicare Payment Advisory Commission addressing issues discussed at the October meeting.