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NAUH Comments on Proposed Medicare Inpatient Rule: Part 1 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

HHS Issues Report on Changes in Care in Urban, Rural Areas

The U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Planning and Evaluation has issued a new report titled Impact of the Affordable Care Act Coverage Expansion on Rural and Urban Populations. The report looks at changes in coverage rates and access to care and how these populations have used federal tax credits to obtain health insurance. Find the report here

Background Information on Payment Methodologies and Benefit Design

The Urban Institute has issued two new papers with background information on health care payment methodologies and the design of health care benefits packages. The first paper, Payment Methods: How They Work, describes nine payment methodologies: fee schedules primary care capitation per diem payments to hospitals for inpatient visits DRG-based payments to hospitals for inpatient visits global budgeting for hospitals bundled payments global capitation for organizations shared savings pay for performance The second paper, Benefit Designs: How They Work, explains seven different types of benefit designs: value-based design high-deductible health plans tiered networks narrow networks reference pricing centers of excellence benefit design [&hellip

Data-Sharing Could Help Address “High-Fliers”

A new study suggests that hospitals might better serve frequent emergency room patients if they share data with one another. According to a new report in the journal JAMA Internal Medicine, nearly 70 percent of “high-fliers” – patients known to make repeated visits to hospital ERs – visited more than one hospital ER in a study of patients who had more than five ER visits in Maryland in 2014. As a result, individual hospitals may not have a complete picture of such patients’ medical issues and the frequency with which they are turning to hospitals for care – a problem that [&hellip

Report on the State of Urban Health Care

Kaiser Health News has published a five-part report on the challenges facing urban health care providers in the nation’s cities. The Kaiser report, “Special Report, Baltimore’s Other Divide,” consists of five parts: In Freddie Gray’s Neighborhood, The Best Medical Care is Close But Elusive Baltimore Hospitals Work to Repair Frayed Trust in Black Communities Quest for Blood Pressure Cuff Highlights Inequality At Clinic, Poverty Magnifies Health Problems Hospital Trying to Win Community’s Trust Go here on the Kaiser Health News web site for an introduction to the series and links to all five parts

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