Noteworthy News

Archive for December, 2015


MedPAC Addresses Major Issues for Urban Safety-Net Hospitals

The independent federal agency that advises Congress on Medicare payment issues discussed several issues of great importance to urban safety-net hospitals at its December 10 meeting in Washington, D.C. During the course of a discussion about FY 2017 Medicare inpatient and outpatient payment increases, the commissioners of the Medicare Payment Advisory Commission (MedPAC) also considered staff recommendations that would alter the section 340B prescription drug discount program and Medicare disproportionate share hospital payments (Medicare DSH). Medicare DSH and the 340B program are essential to private, non-profit urban safety-net hospitals. NAUH members have received a memo describing the proposals MedPAC commissioners [&hellip

Source Materials on Medicaid

The National Association of Medicaid Directors recently held its 2015 fall conference. The following are presentations made at the conference by state and federal Medicaid officials, consultants, foundation officials, associations, non-profit groups, and others. A Medicaid Approach to Evaluation – Joe Parks Driving Value Getting Results – Beth Waldman Driving Value Getting Results – Darin Gordon Driving Value Getting Results – Gretchen Hammer Driving Value Getting Results – Rachel Nuzum High Cost High Need Patients – Meg Murry High Cost High Need Patients – Pam Greenberg Lets Get the Systems Talking – MaryAnne Lindeblad Medicaid at 50 Past, Present, and [&hellip

Primary Care Docs Face Medicare Pay Cuts

Primary care physicians will see their Medicare reimbursement decline next year when a program that pays them a 10 percent bonus expires. The program, launched in 2011 to help close the gap between private insurance and Medicare primary care payments, spent more than $660 million in 2012, the most recent year for which figures are available, and resulted in nearly $4000 in additional income for eligible doctors. Learn more about how the program worked, what it sought to accomplish, whether it achieved its objectives, and how doctors and others view its end in this Kaiser Health News article

Medicare’s Bundled Payments Challenge

Now that the U.S. Department of Health and Human Services has set a target of making 50 percent of all Medicare payments through alternative payment systems by the end of 2018, one of those alternative systems, known as “bundled payments,” is receiving a great deal of attention. Medicare’s Bundled Payments for Care Initiative (BCPI) is testing four models for making such payments: one that addresses care provided in the hospital and three that address post-discharge services. In a new article titled “Bundled Payments for Care Improvement Initiative,” the journal Health Affairs takes a closer look at these four models, how [&hellip

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