Noteworthy News

Archive for National Association of Urban Hospitals

 

Don’t Slash Medicare Drug Payments, NAUH Asks CMS

The federal government should withdraw its proposal to drastically reduce Medicare payments for prescription drugs covered by the section 340B prescription drug discount program, NAUH has told the Centers for Medicare & Medicaid Services. CMS has proposed a 28 percent cut in those payments beginning in 2018. According to NAUH, the savings hospitals enjoy from 340B discounts enable them to expand the scope of the services they offer to their low-income patients and engage in additional community outreach.  This was the very reason Congress created the program, NAUH told CMS, and reducing 340B payments now would reduce those savings, undermine [&hellip

NAUH Urges CMS to Reconsider Proposed Outpatient Payment Changes

The federal government should not cut in half payments to physicians who care for their Medicare patients in off-campus, provider-based outpatient facilities. It also should reconsider the circumstances under which hospitals can move their off-campus, provider-based hospital outpatient departments, or expand the services those departments offer, without losing their provider-based hospital outpatient department status. These were among the comments NAUH offered to the Centers for Medicare & Medicaid Services in response to CMS’s proposed Medicare physician payment fee schedule for 2018. See NAUH’s entire letter to CMS about the proposed outpatient physician fee regulation here

MedPAC Comments on Proposed Physician Fee Schedule

The Medicare Payment Advisory Commission has written to the Centers for Medicare & Medicaid Services to convey its views on CMS’s proposed revisions to Medicare physician payment policies for 2018. Among the issues MedPAC addresses in its comment letter are proposed payments to physicians for nonexcepted items and services provided in nonexcepted off-campus provider-based hospital departments, the Medicare shared savings program, and the Medicare diabetes prevention program. Return here later this week to learn about NAUH’s comment letter about the same proposed regulation. See MedPAC’s comment letter here

Leave 340B Alone, CMS Advisory Group Says

The Centers for Medicare & Medicaid Services should not significantly reduce Medicare payments for some prescription drugs. Or so says one of CMS’s own advisory panels. The agency’s Advisory Panel on Outpatient Prospective Payment reached this conclusion after listening to testimony from hospital industry stakeholders who told of the savings the federal government’s 340B prescription drug discount program produces and how those savings enable hospitals in low-income areas to help low-income patients who would not otherwise be able to afford their drugs and help improve access to care for low-income patients with very limited health care options. The panel’s recommendation [&hellip

NAUH Asks House to Block S-10 Data in Medicare DSH Calculation

In response to a request from the House Ways and Means Committee’s Health Subcommittee for suggestions from stakeholders on ways to improve the delivery of Medicare services and eliminate statutory and regulatory obstacles to more effective care delivery, NAUH has asked the committee to require the Centers for Medicare & Medicaid Services to continue using the low-income days proxy for 2013 in the calculation of Medicare disproportionate share payments (Medicare DSH) and not use S-10 uncompensated care data in that calculation until the S-10 form’s instructions have been improved and until the quality of the data hospitals report on an [&hellip

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