Noteworthy News

Archive for NAUH

 

Medicaid Directors Comment on Proposed Medicaid Pass-Through Regulation

Last November the Centers for Medicare & Medicaid Services proposed a new regulation governing the use of pass-through payments in state Medicaid managed care programs. The National Association of Medicaid Directors submitted formal comments to CMS about that proposed regulation. See its comments here. See NAUH’s comments on the same proposed regulation here

New Study: Social Risk Factors Affect Provider Performance and Patient Outcomes

Medicare patients with social risk factors fare worse than others in programs that measure quality and the providers that serve them also perform worse than others on quality measures. This news comes from a new report presented to Congress by the U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Planning Evaluation. The report, mandated by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014, focused on nine Medicare payment programs: the hospital readmissions reduction program the hospital value-based purchasing program the hospital acquired condition reduction program the Medicare Advantage (Part C) quality star rating [&hellip

Urban Hospitals Fare Poorly in Federal Hospital Ratings

Urban hospitals have lower scores than their non-urban counterparts in the Centers for Medicare & Medicaid Services’ Overall Hospital Star Ratings. And a new report in JAMA Internal Medicine explains why. An analysis of CMS’s latest hospital ratings examined conditions that make cities “stressed” – things like poverty, unemployment, high divorce rate, the health of residents, and more – and found that the higher a stress rating assigned to a city, the lower its hospitals rated in the CMS Hospital Star Ratings. In seeking an explanation for this finding, the study suggested that …the star rating component measures may be [&hellip

Academies Continues Work on Socio-Economic Risk Adjustment

In the latest aspect of its research on socio-economic status for the purpose of its application to Medicare quality measurement and payment programs, the National Academies of Sciences, Engineering, and Medicine has taken a look at the data needed to define socio-economic status. In its new report Accounting for Social Risk Factors in Medicare Payment: Data, the Academies, notes that it was hired by the U.S. Department of Health and Human Services to …convene an ad hoc committee to provide a definition of socioeconomic status for the purposes of application to Medicare quality measurement and payment programs; identify the social [&hellip

Senate May Tackle Socio-economic Risk Adjustment

With a House bill to adjust Medicare payment penalties based upon the socio-economic challenges posed by the patients some hospitals serve folded into a House bill that passed in June, the Senate may take up this issue during its fall session. Health economists, policy experts, and providers generally agree that the performance of hospitals that serve especially large numbers of low-income patients is affected in a number of areas, including Medicare readmissions, meeting value-based purchasing criteria, and others. And while the Centers for Medicare & Medicaid Services acknowledges the challenge, the agency has rejected calls for risk adjustment so far, [&hellip

Search for
Noteworthy News

Related posts

    [exec] boposts_show(); [/exec]