Why Join?

Why Join NAUH?

  • NAUH has represented the federal policy interests of private, non-profit urban safety-net hospitals since 1993.
  • NAUH advocates on behalf of the needs of these hospitals before Congress and the administration.
  • NAUH is the only association that focuses exclusively on the interests of urban hospitals.

NAUH’s Accomplishments

  • NAUH has helped define private, non-profit urban safety-net hospitals as a distinct group of hospitals among the federal officials whose policy-making activities profoundly affect those hospitals.
  • NAUH has helped prevent billions in cuts in Medicare and Medicaid payments to urban hospitals.
  • NAUH has preserved Medicare and Medicaid reimbursement to urban safety-net hospitals.
  • NAUH is making significant progress toward overcoming the conventional wisdom in Washington that only rural hospitals are not doing well financially and that urban hospitals are in good financial health.

How NAUH Operates

  • NAUH has excellent relationships with key officials in both political parties.
  • NAUH always focuses on the public policy aspects of the positions it advocates.
  • NAUH supports its positions with extensive data that gives the association credibility among public officials.

Challenges

Passage of health care reform in March of 2010 – the Affordable Care Act – should greatly enhance access to health insurance, and to health care, for millions of Americans in the coming years. Some aspects of the landmark legislation, however, pose a challenge to private, non-profit urban safety-net hospitals, and in the immediate future, the National Association of Urban Hospitals will focus largely on addressing three of those challenges.

  1. The bill calls for major cuts in Medicare DSH and Medicaid DSH payments to hospitals and a complete rewriting of the formula for calculating Medicare DSH payments. The new formula will be based in large part on hospitals’ reported uncompensated care data, and the current data that the federal government collects is widely considered unreliable. NAUH will work to ensure that the federal government defines how hospitals should calculate and report their uncompensated care in a manner that is accurate, reliable, and fair.
  2. Implementation of health care reform will require the federal government to issue literally hundreds of new regulations. NAUH will review all of these regulations carefully to ensure that they adequately protect urban safety-net hospitals – and will speak out and work with Congress and the administration when we believe they do not.
  3. The Affordable Care Act calls for many different types of demonstration programs designed to test new ways of serving publicly insured populations and paying for those services. To ensure that such testing is relevant to the conditions under which urban safety-net hospitals serve their communities, NAUH will advocate that all demonstrations relevant to the delivery of care in urban communities require the participation of private, non-profit urban safety-net hospitals.

For a more detailed look at NAUH’s federal policy agenda, go here.

  • NAUH has represented the federal policy interests of private, non-profit urban safety-net hospitals since 1993.
  • NAUH advocates on behalf of the needs of these hospitals before Congress and the administration.
  • NAUH is the only association that focuses exclusively on the interests of urban hospitals.