Noteworthy News

Archive for December, 2012


Decision Time Looms for States On Medicaid Expansion

The time for states to decide whether they will expand their Medicaid programs in accordance with the Affordable Care Act is fast approaching. With the Medicaid expansion due to begin in 2014, thirteen states seem likely to opt out, 14 appear ready to expand, and the rest are still on the fence. Among the major concerns of states still deciding are the cost of expansion and their concern that the federal government, currently scheduled to assume almost all of the cost of expansion, may at some point decide to shift more of expansion’s costs to state governments. The National Association [&hellip

Reform Medicaid Provider Tax, Editorial Urges

In a recent editorial, the Washington Post called for the federal government to reform the provider taxes that most states use to help finance their Medicaid programs. Provider taxes essentially enable states to increase the effective rate at which the federal government matches their Medicaid spending.  Past efforts to limit provider taxes have failed, but the Post calls for reform to be phased in over a number of years. In the past year, the National Association of Urban Hospitals (NAUH) has conveyed to Congress on numerous occasions its support of Medicaid provider taxes.  Such taxes are thought to be on [&hellip

Governors Will Give In On Medicaid Expansion, Experts Predict

Lured by billions of dollars in federal money, governors resisting the Affordable Care Act’s Medicaid expansion option will eventually give in and expand their states’ Medicaid programs as provided for in the 2010 health care reform law. Or so predict several experts who participated in a recent health policy forum in Washington, D.C. Some may not do so right away, the experts warned, but the financial benefits of expanding their Medicaid programs and capturing billions in federal Medicaid matching money will eventually become too much to resist. The National Association of Urban Hospitals (NAUH) supports Medicaid expansion in every state. [&hellip

NAUH Lobbies Congress on Fiscal Cliff Issues

With Congress and the administration now negotiating a solution to the fiscal cliff crisis, National Association of Urban Hospitals members are reaching out to their congressional delegations with the following messages: Further Medicare and Medicaid cuts to hospitals should not be part of the solution. Through the Affordable Care Act, sequestration, and other legislation and regulations, urban safety-net hospitals have already been asked to endure significant cuts in their Medicare and Medicaid reimbursement. More cuts – including the biggest ones – have not yet even taken effect. Private urban safety-net hospitals simply cannot afford any more Medicare and Medicaid cuts [&hellip

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