Noteworthy News

Archive for April, 2013


Winners, Losers in President’s Budget Proposal

Who are the winners and who are the losers in the proposed FY 2014 budget released last week by the Obama administration? Winners include the Affordable Care Act, the NIH, and Medicaid. Losers include the pharmaceutical companies, the tobacco industry, clinical labs, hospitals, and some seniors. Safety-net hospitals would be winners, at least temporarily, because the first round of Affordable Care Act-mandated cuts in Medicaid disproportionate share hospital payments (Medicaid DSH) would be postponed for a year.  In addition, Medicaid would mostly be untouched by proposed spending cuts. While the administration’s new budget proposal is considered unlikely to be taken [&hellip

White House Proposes Delaying Medicaid DSH Cut

The Obama administration has proposed putting off Affordable Care Act-mandated cuts in Medicaid disproportionate share hospital payments (Medicaid DSH) for one year. Under the health reform law, hospitals were to begin seeing significant reductions in their Medicaid DSH payments beginning in FY 2014.  The rationale behind the cut was that with reform expanding Medicaid eligibility and making health insurance more affordable to working people, hospitals would no longer need as much Medicaid DSH money because they would be providing less uncompensated care to uninsured patients. When the Supreme Court ruled that the previously mandatory Medicaid expansion could only be optional, [&hellip

IOM Suggests That Post-Acute, Not Acute Care, May Account for Most Geographic Variations in Medicare Spending

In a preliminary report, the Institute of Medicine has indicated that post-acute-care services used by Medicare patients, rather than inpatient care, may account for much of the geographic variation in Medicare expenditures across the country. Policy-makers and health care analysts have been working for years to understand why Medicare spends much more money on a per capita basis in some parts of than country than in others.  As an IOM news release noted, Looking at how much Medicare pays out for different categories of health care services, the committee observed that post-acute care, including the use of home health services, [&hellip

IRS Issues Guidelines for Community Health Assessments

The Internal Revenue Service has issued a proposed rule governing how non-profit hospitals will conduct future community health assessments. Such assessments are required of non-profit hospitals under the Affordable Care Act. The new regulation also includes guidelines for hospital billing practices when serving low-income patients. To learn more about the new regulation, find a copy of the regulation itself and an IRS fact sheet here, on the web site of the U.S. Treasury Department

White House Releases Proposed FY 2014 Budget

The Obama administration today unveiled its proposed FY 2014 budget. Included in the budget are a number of Medicare and Medicaid cuts, many of them especially relevant to the nation’s private, non-profit urban safety-net hospitals. The National Association of Urban Hospitals (NAUH) has prepared a memo detailing the proposed cuts that would most affect urban safety-net hospitals.  To receive a copy of this memo, please use the “contact us” link above to make your request

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