Noteworthy News

Archive for Medicare disproportionate share

 

Report: Uncompensated Care Payments Insufficiently Aligned With Uncompensated Costs

Some of the payments Medicare makes to hospitals to help them with their uncompensated care costs are not well-aligned with actual hospital uncompensated care costs, the U.S. Government Accountability Office has concluded. In a new report based on FY 2013 and FY 2014 data, the GAO found that Medicare UC [uncompensated care] payments are not well aligned with hospital uncompensated care costs for two reasons. First, payments are largely based on hospitals’ Medicaid workload rather than actual hospital uncompensated care costs…Second, CMS [the Centers for Medicare & Medicaid Services] does not account for hospitals’ Medicaid payments that offset uncompensated care [&hellip

NAUH Comments on Proposed Medicare Inpatient Rule: Part 3 of 5

In April the Centers for Medicare & Medicaid Services published its proposed rule governing how it plans to pay hospitals for Medicare-covered inpatient services in FY 2017. The rulemaking process includes an invitation to stakeholders to submit comments on what CMS has proposed. NAUH submitted extensive comments in response to the proposed rule, addressing six aspects of what CMS proposed: Medicare disproportionate share (Medicare DSH) payments the Medicare hospital readmissions reduction program inpatient rates observation status/the two-midnight rule the outlier threshold reporting data for the Medicare area wage index This week the NAUH blog presents NAUH’s comments. Our schedule is [&hellip

NAUH Comments on Proposed Medicare Inpatient Rule: Part 2 of 5

In April the Centers for Medicare & Medicaid Services published its proposed rule governing how it plans to pay hospitals for Medicare-covered inpatient services in FY 2017. The rulemaking process includes an invitation to stakeholders to submit comments on what CMS has proposed. NAUH submitted extensive comments in response to the proposed rule, addressing six aspects of what CMS proposed: Medicare disproportionate share (Medicare DSH) payments the Medicare hospital readmissions reduction program inpatient rates observation status/the two-midnight rule the outlier threshold reporting data for the Medicare area wage index This week the NAUH blog presents NAUH’s comments. Our schedule is [&hellip

MedPAC Offers DSH, 340B Recommendations

The Medicare Payment Advisory Commission has recommended that Congress direct changes in the 340B prescription drug discount program and in the manner in which Medicare makes disproportionate share hospital payments (Medicare DSH). In its annual report to Congress, MedPAC recommended a reduction in 340B prescription drug payments to hospitals. The proposed reduction would cut 340B program spending approximately $300 million. MedPAC then recommended that those 340B savings be redirected to the Medicare DSH uncompensated care pool. And it also called for distributing the money in that pool based on better data on the uncompensated care hospitals provide, as reported on [&hellip

DSH/340B Hospitals Have Lower Medicare Drug Costs

Medicare disproportionate share (Medicare DSH) hospitals that qualify for the federal 340B prescription drug discount program have lower Medicare Part B drug costs than other Medicare providers. So concludes a new study performed for 340B Health, an association that represents more 1100 public and non-profit hospitals and health systems that participate in the 340B drug pricing program. According to the organization 340B Health, Medicare pays disproportionate share hospitals in the 340B drug discount program on average 13 percent less for separately payable drugs reimbursed through Medicare Part B. This is in comparison to what it pays other hospitals and physician [&hellip

Search for
Noteworthy News

Related posts

    [exec] boposts_show(); [/exec]