Noteworthy News

Archive for deficit reduction


Implications of Sequestration for Medicare, Urban Safety-Net Hospitals

What aspects of Medicare would be affected by sequestration?  What aspects would be exempt? And how will sequestration cuts affect overall Medicare spending? Sequestration has especially high stakes for the nation’s urban safety-net hospitals because they care for so many low-income seniors. Read more about sequestration and Medicare in “What Does Sequestration Mean to Medicare?” on the web site of the Medicare NewsGroup, where you also will find links to an explanation of sequestration and a discussion of the role Medicare is playing in fiscal cliff talks

Old Medicare Proposals Resurface in Fiscal Cliff Talks

Proposals for how to reduce federal Medicare spending that were once thought dead are finding new life in the current fiscal cliff crisis debate. In particular, recommendations offered by the 2010 Bowles-Simpson commission are being recirculated as Congress and the White House search for ways to avert the fiscal cliff. Among those that would affect hospitals are reductions in Medicare bad debt reimbursement and medical education payments. Other proposals, such as increasing Medicare beneficiaries’ cost-sharing and limiting Medigap coverage, would probably lead to increased bad debt for urban safety-net hosptials that care for especially large numbers of low-income seniors. Read [&hellip

Implications of Fiscal Cliff for Urban Safety-Net Hospitals

Among the most important aspects of the current fiscal cliff crisis are Medicare payments to physicians and Medicare sequestration.  Both have major implications for the nation’s private urban safety-net hospitals. Medicare payments to physicians are governed by the Medicare sustainable growth rate formula, or SGR.  According to that formula, Medicare payments to physicians will be cut 27 percent on January 1, 2013.  Since 2003, Congress has delayed implementation of similarly scheduled cuts – a process widely known as the “Medicare doc fix.” Under Medicare sequestration, the deficit reduction spending compromise crafted by Congress late last year calls for all Medicare [&hellip

NAUH Seeks Congress’s Help in Fiscal Cliff Talks

In a message delivered yesterday (November 15), the National Association of Urban Hospitals (NAUH) asked every member of Congress to urge their caucus leaders to reject any further cuts in Medicare and Medicaid when they meet with the White House to negotiate a solution to the fiscal cliff crisis. The message cited the significant Medicare cuts hospitals are already experiencing and the major cuts from sequestration and the FY 2014 cut in Medicare disproportionate share (Medicare DSH) payments and warned that any further Medicare or Medicaid cuts would jeopardize the ability of many private, non-profit urban safety-net hospitals to continue [&hellip

Report Calls for Billions in Hospital Cuts

A report by the Center for American Progress proposes billions of dollars in payment cuts to hospitals as a way of helping to prevent the country from falling off the fiscal cliff. In its new report “The Senior Protection Plan:  $385 Billion in Health Care Savings Without Harming Beneficiaries,” the Center for American Progress proposes $61 billion in hospital payment cuts over the next ten years – cuts over and above those already enacted in the Affordable Care Act and other legislation of recent years. Among the proposals:  greatly reduced Medicare inpatient annual payment updates; the elimination of payment differentials [&hellip

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