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NAUH Comments on Proposed Medicare Regulation (Part 1 of 4)

On April 30, the Centers for Medicare & Medicaid Services (CMS) published a 1500-page draft regulation detailing how it proposed paying hospitals for the inpatient care they provide to their Medicare patients in FY 2016 and invited comment on its proposal from stakeholders and interested parties. Last week, the National Association of Urban Hospitals provided its written comments in a letter to CMS. Over the next four days NAUH presents those comments in this space: Today: Medicare DSH Tomorrow: Hospital inpatient rates Wednesday: the hospital readmissions reduction program Thursday: short hospital stays and outliers Medicare DSH NAUH would like to [&hellip

Proposed FY 2016 Medicare Payment Regulation Released

The Centers for Medicare & Medicaid Services (CMS) has released its proposed Medicare inpatient prospective payment system regulation for FY 2016. Among the Medicare issues addressed in detail in the 1500-page draft regulation are: inpatient payment rates bundled payments Medicare disproportionate share hospital payments (Medicare DSH) quality reporting requirements the value-based purchasing program the hospital-acquired conditions program the hospital readmissions reduction program the two-midnight rule wage index adjustments The National Association of Urban Hospitals (NAUH) has prepared a detailed summary of the proposed regulation tailored especially to the interests of urban safety-net hospitals, with a special emphasis on Medicare DSH [&hellip

NAUH Comments on Medicare Bill

Late last year, Representative Kevin Brady (R-TX), chair of the House Ways and Means Committee’s Health Subcommittee, released his “Hospital Improvement for Payment Act of 2014.” At the time, Rep. Brady invited comment on his Medicare proposal, which was widely viewed as a preview of the agenda he intended to pursue in 2015. Yesterday the National Association of Urban Hospitals (NAUH) sent Mr. Brady extensive comments on his bill.  Among the many issues NAUH addressed in its letter are the bill’s proposal for a new way for Medicare to pay for short hospital stays; its call for the annual publication [&hellip

NAUH Posts 2015 Advocacy Agenda

The National Association of Urban Hospitals has published its advocacy agenda for 2015. Among the highlights of the 2015 agenda are: Protecting urban safety-net hospitals from further Medicare cuts, including Medicare disproportionate share hospital payment cuts (Medicare DSH). Protecting urban safety-net hospitals from further Medicaid cuts, including Medicaid DSH cuts. Advocating risk adjustment of Medicare’s hospital readmissions reduction program. Advocating the continuation of enhanced Medicaid payments for primary care providers. Learn more about these and NAUH’s other policy priorities for 2015 in the association’s advocacy agenda, which you can find here

NAUH Publishes New Study

The National Association of Urban Hospitals today released a new study that examines thefinancial impact on urban safety-net hospitals of health care reform and other cuts in Medicare payments on urban safety-net hospitals. The study, The Disproportionate Impact of Medicare Cuts and Health Care Reform on Urban Safety-Net Hospitals, shows that these cuts – in Medicare disproportionate share payments (Medicare DSH), from productivity adjustments and documentation and coding adjustments, in bad debt reimbursement, in hospital readmissions reduction program penalties, and Medicare sequestration cuts – are taking a significant financial toll on urban safety-net hospitals.  The study documents both the disproportionate [&hellip

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