Noteworthy News

Archive for May, 2011



Welcome to the new web site of the National Association of Urban Hospitals.  Our new site offers a look at the work we do on behalf of private, non-profit urban safety-net hospitals:  our creative, leading-edge research; our thoughtful, data-oriented, policy-based approach to complex matters of public policy; and our forceful, informed advocacy on behalf of urban safety-net hospitals that serve culturally diverse, low-income communities throughout the country.  We also are pleased to introduce a new feature:  “Noteworthy News.”  In this area we will highlight issues, announcements, events, public policy research, regulatory developments and proposals, and other matters of interest to [&hellip

Institute of Medicine’s Medicare Wage Index Recommendations

On Wednesday, June 1, the Institute of Medicine (IOM) released its recommendations for changes in the Medicare area wage index system.  Read about the IOM’s report here and find the report itself here. From the perspective of urban safety-net hospitals, the recommendations appear to be bad news.  The IOM recommends using data from the Bureau of Labor Statistics (BLS) to determine labor costs – the absolutely worst possible source, in NAUH’s view.  It also proposes a single, nation-wide occupational mix that would be highly disadvantageous for most tertiary-care hospitals, academic medical centers, and other hospitals that provide services that most [&hellip

Emergency Room Visits on the Rise, Emergency Room numbers fall

Urban safety-net hospitals have some of the busiest emergency rooms in the country and they seem to be getting busier all the time.  While much of this increased volume can be attributed to the growing number of uninsured Americans and growing numbers of Medicaid patients who have difficulty finding primary care physicians willing to treat them, another cause of individual hospitals’ growing ER volume is now clear:  there are fewer ERs for patients in need of emergency care.  According to a new study published recently in the New England Journal of Medicine, hospital emergency room visits increased 30 percent between [&hellip

Cost of Participating in New Medicare Accountable Care Organizations Too Great

Urban safety-net hospitals having been saying it for a while now:  the cost of participating in new Medicare accountable care organizations (ACOs) is too great and the potential rewards of doing so are not commensurate with the risks.  Now, the Centers for Medicare & Medicaid Services (CMS) appears to agree – or at least to be taking such concerns seriously.  Last week, CMS issued a discussion document as sort of an addendum to its proposed regulation governing its soon-to-be-launched Medicare shared savings program.  In this document, CMS raises the possibility of establishing what it calls an “Advanced Payment ACO Initiative.”  [&hellip

The Potential Impact of Affordable Care Act

One of the more frequently overlooked aspects of the Affordable Care Act is a provision that calls for Medicare DSH payments to qualified hospitals to be slashed 75 percent beginning in FY 2014.  While hospitals will see the restoration of some of this reduction based on how much uncompensated care they continue to provide even after the insurance mandate and the expansion of Medicaid rolls takes place, the impact of this Medicare DSH cut will be enormous – and painful – for urban safety-net hospitals.  According to an NAUH analysis, the typical private, non-profit urban safety-net hospital will see a [&hellip

Search for
Noteworthy News

Related posts

    [exec] boposts_show(); [/exec]