Noteworthy News

Archive for September, 2012

 

States Pursuing Payment, Delivery System Innovations

The nation’s state Medicaid programs are collectively developing and implementing a variety of changes in their payment and delivery systems – changes designed to improve care and make it more economical. These innovations can generally be divided into five types:  payment adjustment policies, managed fee-for-service, bundled payments, managed care initiatives, and health homes. The nation’s private urban safety-net hospitals, because they care for so many Medicaid patients, are likely to be affected by such changes more than the typical acute-care hospital. Learn more about how state Medicaid programs are pursuing their own health care innovations in this Commonwealth Fund report

NAUH Members Cited for Achievement

Three members of the National Association of Urban Hospitals (NAUH) have been cited by the Joint Commission for their excellence in employing basic procedures to treat common illnesses. NAUH members Falmouth Hospital (in Falmouth, Massachusetts), Jersey City Medical Center (Jersey City, New Jersey), and Providence Holy Cross Medical Center (Mission Hills, California) are among 620 hospitals cited by the Joint Commission as top performers because they followed recommended procedures at least 95 percent of the time. Congratulations!

Reform-Mandated Payment Cuts Will Hurt Hospital Margins

The operating margins of the nation’s private, non-profit urban safety-net hospitals could fall significantly if all of the Medicare payment cuts mandated by the Affordable Care Act are implemented as planned. According to the new National Association of Urban Hospitals (NAUH) study “The Potential Impact of the Affordable Care Act on Urban Safety-Net Hospitals,” the median operating margin of the nation’s private urban safety-net hospitals, currently close to zero, could fall to -2.0 percent when the 2010 health reform law’s Medicare disproportionate share payments (Medicare DSH) cuts and other Medicare payment changes take effect. Read more about the effect of [&hellip

NAUH Questions Pending Medicare DSH Cuts

In a new study, the National Association of Urban Hospitals (NAUH) has questioned the extent of the cuts in Medicare disproportionate share (Medicare DSH) payments mandated by the Affordable Care Act. In the study, NAUH cites four reasons why the anticipated cuts in Medicare DSH payments, which are made to selected hospitals that care for especially large numbers of low-income patients, may be too large. having more Medicaid recipients will increase hospitals’ Medicaid shortfalls the Supreme Court decision on the reform law’s mandate that states expand Medicaid coverage will mean fewer Medicaid recipients than anticipated but more people remaining uninsured [&hellip

Urban Safety-Net Hospitals Could Bear Disproportionate Share of Reform Cuts

The nation’s private, non-profit urban safety-net hospitals could shoulder an outsized share of Medicare payment cuts mandated by the Affordable Care Act. According to an analysis by the National Association of Urban Hospitals (NAUH) presented in the new NAUH report “The Potential Impact of the Affordable Care Act on Urban Safety-Net Hospitals,” private urban safety-net hospitals, just 15 percent of the nation’s acute-care hospitals, will suffer nearly one-half of all Medicare disproportionate share payment (Medicare DSH) cuts mandated by the 2010 health care reform law and more than one-third of Medicare payment cuts associated with Medicare’s new hospital readmissions reduction [&hellip

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