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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

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

Serving High-Need, High-Cost Medicare Patients

With Medicare beneficiaries who have four or more chronic conditions accounting for 90 percent of Medicare hospital readmissions and 74 percent of Medicare costs (both 2010 figures), policy-makers are constantly looking for better ways to serve such individuals. Academic research suggests that these beneficiaries need a variety of non-medical social interventions and supports, most of which are not covered by Medicare. With this in mind, the Bipartisan Policy Center has prepared a review of current regulatory, payment, and other barriers that prevent providers and insurers from meeting some of the non-medical needs of high-need, high-cost patients that result in such [&hellip

Cures Law Addresses Shortcomings in Readmissions Program

The 21st Century Cures Act passed last December includes a provision that addresses perceived inequities in Medicare’s readmissions reduction program. Those inequities centered around holding safety-net hospitals, thought to care for more medically and socially challenging patients than the typical hospital, to the same standard as those typical hospitals when assessing penalties under Medicare’s hospital readmissions reduction program. While proponents of addressing this perceived inequity focused on addressing it through socio-economic risk adjustment, the Cures Act took another approach, as a recent article on the Health Affairs Blog explained: The Cures Act changes this by instructing HHS to set different penalty thresholds [&hellip

HHS Transition Briefing Book Available

Prior to last November’s election, leadership at the U.S. Department of Health and Human Services prepared briefing materials for the transition staff of the winning candidate. That briefing book, HHS Presidential Transition Agency Landing Team Book, provides background material that HHS leadership believed would be useful for the incoming president’s transition team. The book addresses a number of issues of importance to NAUH and the nation’s private, non-profit urban safety-net hospitals. That 118-page book is now publicly available; find it here

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