Noteworthy News

Archive for non-profit hospitals


Members of Congress Urge Delay in Medicare DSH Cuts

Fifty-eight members of the House of Representatives have written to House leadership asking them to delay the continued implementation of Affordable Care Act-mandated Medicare disproportionate share (Medicare DSH) cuts. The letter, to House Speaker John Boehner and minority leader Nancy Pelosi, notes that …hospitals that qualify for Medicare DSH are, by definition, the very providers caring for the greatest numbers of low-income and low-income elderly patients.  In recent years, hospitals have incurred $270 billion in Medicare cuts, including reductions in their annual cost-of-living adjustments, penalties through Medicare’s value-based purchasing and readmissions reduction programs, reduced Medicare bad debt reimbursement, and continued [&hellip

NAUH Calls for Delay of Medicare DSH Cuts

The National Association of Urban Hospitals (NAUH) has asked members of the House of Representatives to sign onto a bipartisan letter from Representatives Adam Schiff (D-CA) and Edwin Nunes (R-CA) asking House leaders to bring to the floor legislation to delay cuts in Medicare disproportionate share hospital payments (Medicare DSH) required by the Affordable Care Act. In the letter, NAUH notes that Affordable Care Act-mandated cuts in Medicare disproportionate share hospital payments (Medicare DSH) are hurting private, non-profit urban safety-net hospitals and other providers like them that care for especially large numbers of low-income, low-income elderly, and uninsured patients. Many [&hellip

Study Points to Risk of DSH Cuts

A new study suggests that future cuts in Medicare disproportionate share (Medicare DSH) and Medicaid DSH payments could pose problems for hospitals that serve large numbers of uninsured patients. According to a new report in the journal Health Affairs, Such cuts in government funding of uncompensated care could pose challenges to some providers, particularly in states that have not adopted the Medicaid expansion or where implementation of health care reform is proceeding slowly. Medicare DSH and Medicaid DSH payments help underwrite the uncompensated care hospitals provide to their uninsured patients.  All urban safety-net hospitals receive such payments. Even after Affordable [&hellip

President Presents Proposed FY 2015 Budget

Yesterday the Obama administration unveiled its proposed FY 2015 federal budget. The spending plan addresses a number of key matters for urban safety-net hospitals, including proposed cuts in Medicare bad debt reimbursement, graduate medical education payments, market basket updates for selected providers, and more. It also proposes increased spending to train more health care providers and to extend enhanced Medicaid primary care payments for another year. The National Association of Urban Hospitals (NAUH) has prepared a memo summarizing the proposed budget with an emphasis on the issues most important to private, non-profit urban safety-net hospitals.  To request a copy of [&hellip

IRS Issues Guidelines for Community Health Assessments

The Internal Revenue Service has issued a proposed rule governing how non-profit hospitals will conduct future community health assessments. Such assessments are required of non-profit hospitals under the Affordable Care Act. The new regulation also includes guidelines for hospital billing practices when serving low-income patients. To learn more about the new regulation, find a copy of the regulation itself and an IRS fact sheet here, on the web site of the U.S. Treasury Department

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