The Centers for Medicare & Medicaid Services should drop a proposal that would prevent some multi-hospital systems and their affiliated medical staffs from opting for a single integrated medical staff structure, AHA yesterday told the agency in comments on its Feb. 7 proposed rule to revamp certain existing Medicare regulations. "While we support many of CMS’s proposed changes, we oppose the agency’s intention to preclude the leaders and medical staffs of some multi-hospital systems from implementing a single unified, integrated medical staff structure," wrote AHA Executive Vice President Rick Pollack. "We believe that CMS should allow multi-hospital system leaders and medical staffs to decide, together, which medical staff structure best enables them to deliver high-quality care for their patients and communities." The proposed rule also would ease some regulatory requirements for critical access hospitals, and would rescind a regulation requiring hospital governing boards to include a member of the medical staff. Comments on the proposed rule are due April 8.