Noteworthy News

Archive for June, 2017


HHS Needs to Do More on Physician Training

The federal government needs to do more to ensure an adequate supply of primary care physicians and their deployment in non-urban areas outside of the northeastern U.S. Or so concludes a new study performed by the U.S. Governor Accountability Office. According to the GAO report, efforts by the U.S. Department of Health and Human Services have resulted in progress toward meeting both of these goals – but not enough progress.  With the federal government spending $15 billion on graduate medical education, GAO believes, HHS can and should do more to ensure an adequate supply of primary care physicians throughout the [&hellip

NAUH Urges Senators to Vote “No” on Better Care Reconciliation Act

Citing provisions that would leave an additional 22 million people uninsured by 2026 and reduce federal investment in Medicaid-covered health care approximately $772 billion over the next decade, the National Association has asked members of the Senate to vote “no” on the Better Care Reconciliation Act.  In a message to senators, NAUH noted that the bill fails to restore Medicare and Medicaid payment cuts that were used to finance the Affordable Care Act’s Medicaid expansion and that it would limit states’ ability to use provider taxes to finance their Medicaid programs.  NAUH also observed that the manner in which the [&hellip

Elderly Patients Return to Hospitals After Observation Stay

More than one in five Medicare patients who have observation stays in the hospital return to that hospital within 30 days, according to a new study published in The BMJ. Among those returning to the hospital, 8.4 percent return to the emergency room, 2.9 percent have another observation stay visit, and 11.2 percent are admitted to the hospital.  Another 1.8 percent pass away within 30 days. The numbers are similar for Medicare patients who only visit the emergency room. Learn more about the study’s findings and its implications for improving post-discharge care in The BMJ article “Outcomes after observation stays [&hellip

MedPAC Delivers Annual Report to Congress

The Medicare Payment Advisory Commission has issued its annual report and recommendations to Congress. The major issues addressed in the report include: implementing a unified payment system for post-acute care reforming Medicare payment for drugs under Part B redesigning the merit-based incentive payment system (MIPS) and strengthening advanced alternative payment models using premium support for Medicare the relationship between clinician services and other Medicare services payments from drug and device manufacturers to physicians and teaching hospitals in 2015 the medical device industry stand-alone emergency departments hospital and skilled nursing facility use by Medicare beneficiaries who reside in nursing facilities the [&hellip

NAUH Comments on Proposed Changes in Medicare Payments (Part 5 of 5)

In a letter to the Centers for Medicare & Medicaid Services, the National Association of Urban Hospitals has offered extensive comments on why the Medicare cost report’s S-10 worksheet is not an appropriate tool to use when calculating hospital Medicare disproportionate share (Medicare DSH) uncompensated care payments. In support of this view and in response to the publication of CMS’s draft inpatient prospective payment system regulation detailing how it envisions paying acute-care hospitals in FY 2018, NAUH took advantage of the formal stakeholder comment period to offer documentation, including examples, of the shortcomings of the S-10.  In the letter, NAUH [&hellip

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