Noteworthy News

Archive for April, 2016


Safety-Net Hospitals’ Readmissions Challenge

The March edition of the journal Health Affairs offers a compelling snapshot of a type of patient many urban safety-net hospitals serve on an almost daily basis: the “superutilizer” who lacks the ability and resources to address his own medical needs. The article “Mr. G And The Revolving Door: Breaking The Readmission Cycle At A Safety-Net Hospital” tells the story of a patient who …had been using drugs and alcohol since his teenage years, and he was addicted to crack cocaine and alcohol…He had been released from prison six months before we first met him, without any basic resources to [&hellip

Keys to Increasing Medicaid Enrollment

States that have their own health insurance marketplace enroll a higher proportion of Medicaid-eligible residents in their Medicaid programs. And those that rely on the federal marketplace enroll higher proportions of eligible residents in Medicaid if they let the federal marketplace determine Medicaid eligibility rather than merely refer potentially eligible individuals to their state Medicaid program. These are among the findings in a new Commonwealth Fund report. The “how” and the “why” are described in greater detail in the report “Streamlining Medicaid Enrollment: The Role of the Health Insurance Marketplaces and the Impact of State Policies,” which can be found [&hellip

Group Organizes Advocacy in Support of 340B Program

Under pressure from federal regulators and MedPAC, the advocacy group 340B Health is attempting to rally hospital groups behind the 340B prescription drug discount program that requires pharmaceutical companies to provide discounts to qualified hospitals for drugs dispensed on an outpatient basis to Medicaid patients. Last year the Health Resources and Services Administration, which runs the program, issued proposed regulations that would change how the program operates and is governed. Recently, MedPAC proposed reducing the size of the discount hospitals receive for the drugs, with the savings to be redirected to fund additional Medicare disproportionate share (Medicare DSH) payments for [&hellip

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