Noteworthy News

Archive for Medicare DSH


One State’s Battle With DSH Cuts

Hospitals across the country are concerned about the degree to which the Affordable Care Act is reducing the Medicare disproportionate share hospital (Medicare DSH) payments that help underwrite the cost of the care they provide to uninsured patients. Those in states that have expanded their Medicaid programs are now receiving payments for at least some of those formerly uninsured patients because those individuals are now enrolled in Medicaid. In states that did not expand their Medicaid programs, however, hospitals face challenges coming from two directions: reduced Medicare DSH payments without the benefit of some of those uninsured patients enrolling in [&hellip

NAUH Talks Medicare DSH With Congressional Committee

Last week representatives of the National Association of Urban Hospitals (NAUH) met with staff of the House Ways and Means Committee’s Health Subcommittee to offer the association’s views on H.R. 3288, the Strengthening DSH and Medicare Through Subsidy Recapture and Payment Reform Act. The bill calls for significant changes in how Medicare makes disproportionate share payments (Medicare DSH) to hospitals. After talking to committee staff about the role Medicare DSH payments play in enabling urban safety-net hospitals to serve their low-income communities, NAUH representatives expressed concern about three aspects of the proposal: its call for a new, permanent, unchanging sum [&hellip

NAUH Comments on Proposed Medicare Regulation (Part 1 of 4)

On April 30, the Centers for Medicare & Medicaid Services (CMS) published a 1500-page draft regulation detailing how it proposed paying hospitals for the inpatient care they provide to their Medicare patients in FY 2016 and invited comment on its proposal from stakeholders and interested parties. Last week, the National Association of Urban Hospitals provided its written comments in a letter to CMS. Over the next four days NAUH presents those comments in this space: Today: Medicare DSH Tomorrow: Hospital inpatient rates Wednesday: the hospital readmissions reduction program Thursday: short hospital stays and outliers Medicare DSH NAUH would like to [&hellip

Proposed FY 2016 Medicare Payment Regulation Released

The Centers for Medicare & Medicaid Services (CMS) has released its proposed Medicare inpatient prospective payment system regulation for FY 2016. Among the Medicare issues addressed in detail in the 1500-page draft regulation are: inpatient payment rates bundled payments Medicare disproportionate share hospital payments (Medicare DSH) quality reporting requirements the value-based purchasing program the hospital-acquired conditions program the hospital readmissions reduction program the two-midnight rule wage index adjustments The National Association of Urban Hospitals (NAUH) has prepared a detailed summary of the proposed regulation tailored especially to the interests of urban safety-net hospitals, with a special emphasis on Medicare DSH [&hellip

NAUH Comments on Medicare Bill

Late last year, Representative Kevin Brady (R-TX), chair of the House Ways and Means Committee’s Health Subcommittee, released his “Hospital Improvement for Payment Act of 2014.” At the time, Rep. Brady invited comment on his Medicare proposal, which was widely viewed as a preview of the agenda he intended to pursue in 2015. Yesterday the National Association of Urban Hospitals (NAUH) sent Mr. Brady extensive comments on his bill.  Among the many issues NAUH addressed in its letter are the bill’s proposal for a new way for Medicare to pay for short hospital stays; its call for the annual publication [&hellip

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