Noteworthy News

Archive for July, 2011


340B Program Expanding to Inpatient Care?

Section 340B drug pricing program discounts would be extended to the inpatient setting under a new bipartisan bill recently introduced in the House. The 340B prescription drug discount program is available to qualified providers that serve large numbers of low-income and uninsured patients, and many private, non-profit urban safety-net hospitals qualify for this program.  Currently, the program offers discounts only for patients served on an outpatient basis, but the 340B Improvement Act of 2011, introduced by two Republicans and a Democrat, would extend section 340B prescription drug discounts to the inpatient setting  as well. Read about the bill in a [&hellip

Economy, Public Policy to Jeopardize Credit Status of Non-Profit Hospitals

State cuts in Medicaid spending will threaten the credit status of non-profit hospitals in the coming years, according to Moody’s, the credit rating agency. Among the challenges states face in funding their Medicaid programs are the still-lagging economy; the loss of federal stimulus funding; and growing Medicaid enrollment.  Together, these challenges will affect the credit rating of non-profit hospitals over the next few years. Learn more about Moody’s perspective here

Hospitals Sue Over Inadequate Medicaid Payments

It’s the thorn in almost every urban safety-net hospital’s side:  Medicaid payments that come nowhere near the cost of caring for Medicaid patients.  Now, ten hospitals in New Hampshire are fighting back, suing their state in federal court over low Medicaid reimbursement.  Read the Boston Globe’s account of their lawsuit here

A Look at the Medicare Independent Payment Advisory Board

One of the more controversial products of the Affordable Care Act, the Medicare Independent Payment Advisory Board (IPAB) is viewed by its proponents as a potentially useful tool in controlling the growth of Medicare spending and by its opponents as an unaccountable, unelected entity that will ration Medicare services. What is the IPAB?  Who will serve on it?  What are its responsibilities and what authority will it have?  Learn more about IPAB in The Independent Advisory Payment Advisory Board:  A New Approach to Controlling Medicare Spending, an issue brief published by the Kaiser Family Foundation

Overview of the Center for Medicare and Medicaid Innovation

Created under the Affordable Care Act, the Center for Medicare and Medicaid Innovation (CMMI) will be the centerpiece of federal efforts to develop new and innovative ways to deliver health care more effectively while lowering costs. One of the lesser-known components of the Affordable Care Act, CMMI has billions of dollars at its disposal to invest in testing innovative service delivery and payment models for serving the Medicare and Medicaid populations.  The Commonwealth Fund and the Alliance for Health Reform recently hosted a briefing on CMMI, and a recap of the event on the Commonwealth Fund’s web site offers an [&hellip

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