Noteworthy News

Archive for October, 2011


Affordable Care Act 101

Medicaid expansion?  Cost sharing?  The Medicare Part D prescription drug gap?  Health insurance exchanges?  Market reforms?  What do these concepts all mean in the context of the Affordable Care Act? Urban safety-net hospitals need to understand these issues if they are to survive and thrive in the post-Affordable Care Act world. The Robert Wood Johnson Foundation has created a brief series of videos designed to explain these concepts and illustrate the role they play in the implementation of the Affordable Care Act.  View the videos here

“Medical Homes”

A great deal of the discussion about improving the quality of care in the U.S. centers on greater use of “medical homes.”  Such medical homes presumably improve the coordination of care, leading to healthier patients and reduced health care costs.  An important question is how participants will measure the effectiveness of the concept – an key consideration if a case is to be made for making greater use of medical homes in the future. The Commonwealth Fund has published a new guide on care coordination through medical homes.  Read about the guide and the concept of medical homes and find [&hellip

CMS Issues Revised ACO Regulation

The Centers for Medicare & Medicaid Services (CMS) has issued a revised regulation governing the accountable care organizations, or ACOs, created under the Affordable Care Act. CMS’s original draft of the regulation produced a considerable amount of criticism – and more than a few suggestions that health care providers would be unwilling to participate in ACOs under the terms CMS proposed.  The new version apparently allays many of the concerns that hospitals, doctors, and others expressed in response to the first draft. For descriptions and commentary about the new rule, how it differs from the draft, and its implications for [&hellip

Medicaid Behind Bars?

Modest numbers of prison inmates are currently eligible for Medicaid for hospital inpatient care, courtesy of a 1997 directive from the U.S. Department of Health and Human Services. Historically, most able-bodied men have been ineligible for Medicaid, and being incarcerated did not change that.  When the Affordable Care Act expands Medicaid eligibility in 2014, however, more prison inmates than ever will become eligible because they will meet Medicaid’s income requirements and will no longer be limited by criteria that bar the able-bodied from eligibility. Read more about this little-known aspect of health care reform in a report on the Stateline [&hellip

NAUH Welcomes New Member

The National Association of Urban Hospitals is pleased to welcome its newest member:  Lutheran Medical Center, in Brooklyn. Welcome!

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