Medicare/ Medicaid

Medicare is a federal program that pays for certain healthcare expenses for individuals age 65 or older. MHA monitors prospective and recently implemented changes to Medicare and MassHealth, provides information about how specific aspects of the programs affect care providers, and advocates for fair and equitable implementation of the program. 
The National Quality Forum (NQF) weighed in, to a limited extent, on the five-star hospital rating system. is up and running, helping individuals locate substance use disorder treatment facilities across the U.S.
CMS is pushing ahead with “Primary Care First” – a voluntary, five-year alternative payment model to reduce Medicare spending.
CMS is pushing ahead with “Primary Care First” – a voluntary, five-year alternative payment model to reduce Medicare spending.
U.S. Rep. Joseph Kennedy pressed CMS Administrator Seema Verma to defend the administration-endorsed efforts to impose work requirements on Medicaid recipients.
CMS has issued a proposed rule that includes a radiation oncology (RO) model to test whether prospective, bundled payments for 90-day radiotherapy episodes of care would reduce Medicare spending while preserving or improving care.
A U.S. District Court has invalidated a CMS regulation issued last November that treated payments made to hospital outpatient departments the same as those made to physician offices.
The much-maligned system of rating hospitals by one-to-five stars that CMS has used since 2016 will, unfortunately, remain as is throughout 2020.
Last week, the Trump Administration released a final rule pertaining to immigration that will ultimately make it more difficult for many immigrants to access healthcare. MHA and others have strongly opposed the revised rule from the outset, and remai
The Centers for Medicare and Medicaid Services (CMS) last week released the proposed payment rule for outpatient services as well as the physician fee schedule rule.
Last week, the U.S. Department of Health and Human Services announced that it would convene a summit to streamline HHS’ quality programs.
CMS has announced a funding opportunity for state Medicaid programs to help them create programs to address substance use disorders (SUD).
The United States Supreme Court in a 7-1 decision last week determined that the U.S. Department of Health and Human Services (HHS) violated the law in 2014 when it changed a formula used to set Medicare reimbursements to disproportionate share hospit
One of the two Medicare Quality Improvement Organizations (QIOs) serving Massachusetts is changing.
Last week, CMS announced the Primary Cares Initiative, which consists of five new voluntary payment models under two paths.
The Centers for Medicare & Medicaid Services (CMS) last week issued its proposed FY2020 inpatient rehabilitation facility prospective payment system rule.
Scrapping the entire current healthcare system and replacing it with a “Medicare for All” plan would cause more harm than good, MHA President & CEO Steve Walsh said last week.
The Trump administration last week asked a U.S. Appeals Court to strike down the entire Affordable Care Act.
The star system to rate hospitals is essentially meaningless, gives an inaccurate view of quality, and should just be scrapped, according to a letter MHA sent to CMS last Friday.
House Democrats introduced a series of bills to strengthen the ACA and expand its reach.


Click on the links below for easy access to information on important federal healthcare matters and MHA’s advocacy, outreach and other work on these issues.

Both of these include links to members list, committees, and legislation and records.