Noteworthy News

Archive for health care reform

 

NAUH Expresses Views on Health Reform Proposal

NAUH does not support the American Health Care Act in its current form, the organization told members of the House of Representatives in a letter it sent yesterday. In its letter, NAUH noted that the recently proposed AHCA would result in millions of Americans, many of them Medicaid beneficiaries and low-income individuals and families, losing their health insurance over the next ten years.  Urban safety-net hospitals serve especially large numbers of these patients. In addition, the bill inadequately indexes future growth in federal Medicaid spending; proposed two years of reduced Medicaid disproportionate share (Medicaid DSH) payments in some states; and [&hellip

New Series Examines Serving High-Need, High-Cost Patients

The Commonwealth Fund is launching a new series of case studies describing “innovative programs designed to address the needs of the nation’s high-need, high-cost patients, a group that accounts for a disproportionate share of health care spending.” Among the types of programs it will profile are: home-based primary care enhanced primary care programs of all-inclusive care (PACE) accountable care for Medicaid populations guided care For a closer look at the new series and the programs it will profile go here, to the web site of the Commonwealth Fund

Congressional Task Force Considers Medicaid Reforms

A House Energy and Commerce Committee group is looking at potential Medicaid reforms for 2017. The task force, consisting entirely of Republican members, was created late last year to “… strengthen and sustain the critical program for the nation’s most vulnerable citizens.” At a recent event at George Mason University, task force chairman Brett Guthrie (R-KY), cited continued high Medicaid spending as a reason to consider reform and noted that the degree to which the task force could tackle Medicaid in 2017 would depend on which party occupies the White House and controls Congress. He suggested that the task force [&hellip

Affordability a Challenge for Many Newly Insured

Many Americans who have obtained private health insurance through the Affordable Care Act continue to have problems affording health care. According to a Kaiser Family Foundation report based on focus groups six states, low-income individuals with new private insurance report continued problems with: medical debt affording care that is not covered by their insurance plans handling out-of-pocket expenses, including deductibles unexpected bills for treatment they thought was covered Such patients pose a challenge for many urban safety-net hospitals because of their inability to afford their co-pays and deductibles, leaving these hospitals with unexpected uncompensated care and bad debt. Because they [&hellip

Background Information on Payment Methodologies and Benefit Design

The Urban Institute has issued two new papers with background information on health care payment methodologies and the design of health care benefits packages. The first paper, Payment Methods: How They Work, describes nine payment methodologies: fee schedules primary care capitation per diem payments to hospitals for inpatient visits DRG-based payments to hospitals for inpatient visits global budgeting for hospitals bundled payments global capitation for organizations shared savings pay for performance The second paper, Benefit Designs: How They Work, explains seven different types of benefit designs: value-based design high-deductible health plans tiered networks narrow networks reference pricing centers of excellence benefit design [&hellip

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