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Archive for Medicare DSH

 

NAUH Comments on Proposed Changes in Medicare Payments (Part 1 of 5)

In a letter to the Centers for Medicare & Medicaid Services, the National Association of Urban Hospitals has offered extensive comments on why the Medicare cost report’s S-10 worksheet is not an appropriate tool to use when calculating hospital Medicare disproportionate share (Medicare DSH) uncompensated care payments. In support of this view and in response to the publication of CMS’s draft inpatient prospective payment system regulation detailing how it envisions paying acute-care hospitals in FY 2018, NAUH took advantage of the formal stakeholder comment period to offer documentation, including examples, of the shortcomings of the S-10.  In the letter, NAUH [&hellip

NAUH Weighs in on American Health Care Act

In a letter to members of Congress and selected congressional staff, NAUH shared its perspective on the American Health Care Act, the legislation Congress is considering as a means of repealing and replacing the Affordable Care Act.  The letter highlights several aspects of the proposed law NAUH appreciates and points to aspects with which it disagrees, including its failure to restore Medicare DSH payments to pre-Affordable Care Act levels, its continuation of Medicaid DSH cuts in Medicaid expansion states for two more years, and a methodology for indexing future growth in the program’s spending that NAUH believes will leave Medicaid [&hellip

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

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