Noteworthy News

Archive for May, 2014


CMS to Examine How States Set Medicaid Managed Care Rates

The Centers for Medicare & Medicaid Services (CMS) is launching an initiative to explore how states set the rates they pay managed care organizations to serve Medicaid patients. The initiative consists of two parts:  first, CMS is examining the adequacy of the process states employ to set their rates – a process that affects the adequacy of the rates themselves; and second, it is drafting updated Medicaid managed care regulations. Because urban safety-net hospitals serve so many Medicaid patients, this effort could have a future impact on the payments they receive for serving these patients. Learn more about this new [&hellip

NAUH Endorses Bill to Reform Controversial Medicare Program

The National Association of Urban Hospitals has written to Senators Joe Manchin (D-WV) and Roger Wicker (R-MS) endorsing their new legislation, the Hospital Readmissions Program Accuracy and Accountability Act.  The bill calls for adding risk adjustment to Medicare’s hospital readmissions reduction program – a change NAUH has long advocated. NAUH has long maintained that the program requires risk adjustment because so many of the people who turn to urban safety-net hospitals for care have endured years of socio-economic challenges that, over time, lead to medical problems that are more difficult to treat.  A number of recent studies have confirmed this [&hellip

Hospitals Reconsidering Charity Care Policies?

In the wake of Affordable Care Act policies that enhance access to health insurance, hospitals around the country are beginning to take a second look at their charity care policies. Some are charging co-pays to uninsured patients; others are moving the line at which they provide free or subsidized care. Such practices are not occurring in great numbers and do not yet constitute a trend, but they do reflect a growing concern among hospitals that some of their uninsured patients have options they are choosing not to exercise. The New York Times has taken a look at a few hospitals [&hellip

NAUH Calls for Delay of Medicare DSH Cuts

The National Association of Urban Hospitals (NAUH) has asked members of the House of Representatives to sign onto a bipartisan letter from Representatives Adam Schiff (D-CA) and Edwin Nunes (R-CA) asking House leaders to bring to the floor legislation to delay cuts in Medicare disproportionate share hospital payments (Medicare DSH) required by the Affordable Care Act. In the letter, NAUH notes that Affordable Care Act-mandated cuts in Medicare disproportionate share hospital payments (Medicare DSH) are hurting private, non-profit urban safety-net hospitals and other providers like them that care for especially large numbers of low-income, low-income elderly, and uninsured patients. Many [&hellip

NAUH Testifies on Medicare DSH

NAUH has asked the House Ways and Means Committee to delay cuts in Medicare disproportionate share hospital payments (Medicare DSH). In written testimony submitted to the committee as part of a public hearing on hospital-related Medicare issues, NAUH told the committee that Affordable Care Act-mandated cuts in Medicare DSH payments should be delayed …to ensure that Americans have appropriate access to health care if and when they need it and to ensure that the fabric of the American health care safety net does not fray beyond repair. NAUH also told the committee that … moving forward with the proposed cuts [&hellip

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