Noteworthy News

Archive for Urban Safety-Net Hospitals

 

MACPAC Points to March Medicaid DSH Report to Congress

Required to report annually to Congress on the state of the Medicaid program, members of the Medicaid and CHIP Payment and Access Commission reviewed drafts of their proposed March report to Congress at the agency’s January meeting in Washington, D.C. In its draft report MACPAC addresses the Medicaid disproportionate share hospital payment program (Medicaid DSH), including DSH allotments, their relationship to the number of uninsured people, the amount and sources of hospital uncompensated care costs, and the impact of Medicaid DSH on hospitals that provide especially large amounts of uncompensated care while also providing essential community services. The draft MACPAC [&hellip

MACPAC Meets, Discusses Medicaid DSH Issues

Last week the Medicaid and CHIP Payment and Access Commission met in Washington, D.C. to review aspects of its required March report to Congress and to address other Medicaid and CHIP issues. Included on the agenda of the meeting were: a review of chapters of the March report on Medicaid disproportionate share (Medicaid DSH) and monitoring of access to care; alternative approaches to state financing of their Medicaid programs; Medicaid coverage for low-income adults; and Medicaid program integrity issues. MACPAC’s efforts, although not binding on the administration, carry a great deal of weight with those institutions.  In addition, they are [&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

Implications of ACA Repeal for Medicaid

How might repeal of the Affordable Care Act affect Medicaid? Medicaid beneficiaries? States and providers? Because they care for so many Medicaid patients, including many who enrolled in Medicaid as a result of the Affordable Care Act, the answers to these questions are of special importance to the nation’s private, non-profit urban safety-net hospitals. These issues and more are considered in the new Commonwealth Fund report “Medicaid’s Future: What Might ACA Repeal Mean?” Find it here

Urban Hospitals in ACOS Better at Reducing Some Readmissions Rates

A new study has found that hospitals located in metropolitan areas that participate in accountable care organizations are doing a better job than other hospitals of reducing 30-day readmissions rates for Medicare patients who originally were discharged into skilled nursing facilities. It appears this improved performance can be attributed to two things: better discharge planning and better coordination with the skilled nursing facilities. To learn more go here to see the study “ACO-Affiliated Hospitals Reduced Rehospitalizations from Skilled Nursing Facilities Faster Than Other Hospitals.”

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