Noteworthy News

Archive for May, 2013


NAUH Applauds CMS Decision on Medicare DSH

The National Association of Urban Hospitals (NAUH) has issued a news release praising the federal Centers for Medicare & Medicaid Services (CMS) for its decision on how to calculate hospitals’ Medicare disproportionate share hospital payments (Medicare DSH) in FY 2014. “We applaud the Centers for Medicare & Medicaid Services and Medicare for this decision,” said Keith Hovan, NAUH’s president, in the news release. Under the Affordable Care Act, Medicare DSH payments are scheduled to be reduced beginning in FY 2014.  Payments are to be cut 75 percent, with hospitals to receive some portion of the reduced amount based on how [&hellip

Will Medicaid Coverage Mean Access?

With many states preparing to expand their Medicaid programs and enroll unprecedented numbers of new people, it is not clear whether Medicaid coverage will lead to access to care. That concern arises in the wake of a survey that found that only 43 percent of physicians accept Medicaid patients.  Other providers, moreover, may not be up to filling the gap:  the same survey found that only 20 percent of physician assistants and nurse practitioners serve Medicaid patients. Thus, while more people than ever will have health insurance once the Medicaid expansion component of the Affordable Care Act takes effect, it [&hellip

NAUH Supports Proposed FY 2014 Medicare DSH Methodology

With the Affordable Care Act mandate for significantly reduced Medicare disproportionate share hospital payments (Medicare DSH) required to take effect in FY 2014, the federal Centers for Medicare & Medicaid Services (CMS) has published an explanation of what Medicare DSH is, how hospitals qualify to receive it, and how it proposes calculating eligible hospitals’ Medicare DSH payments in FY 2014. The National Association of Urban Hospitals (NAUH) supports the approach to calculating Medicare DSH payments that CMS has proposed.  For nearly two years CMS was expected to use data from the S-10 form from hospitals’ Medicare cost reports to make [&hellip

Arkansas Seeks to Take Medicaid Expansion in a New Direction

Supporters of the Affordable Care Act envisioned Medicaid expansion taking a traditional path:  a combination of new recipients enrolling in state fee-for-service programs or, more likely, becoming members of managed care plans that specifically serve the Medicaid population. But Arkansas officials have a different idea.  Instead of expanding Medicaid fee-for-service or employing managed care plans specifically for Medicaid patients, they want to enable newly eligible Medicaid recipients to shop for health insurance through the same health insurance exchanges that other people will use to seek insurance come October of this year. How would this work?  What are the benefits of [&hellip

Readmissions Penalties Not the Answer, Some Hospitals Maintain

Penalizing hospitals that readmit Medicare patients may not be the best way to improve the quality of care, many hospital officials believe. And such penalties also may unfairly target safety-net hospitals and those that care for especially large numbers of low-income and especially sick patients. Hospitals have responded to the challenge posed by potential Medicare penalties by becoming more involved in their patients’ post-discharge lives – an involvement that some believe falls outside their areas of expertise and responsibility.  Still, with the Medicare penalties for readmissions scheduled to rise in the coming years, many hospitals believe they have no choice [&hellip

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