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NAUH Comments on Proposed Medicare Regulation

In a letter to the Centers for Medicare & Medicaid Services (CMS), the National Association of Urban Hospitals (NAUH) has commented on Medicare’s proposed FY 2014 inpatient prospective payment system regulation. NAUH’s letter addresses Medicare disproportionate share (Medicare DSH) payments, the coding adjustment for inpatient payments, the outlier threshold, the labor-related share adjustment, the value-based purchasing program, the hospital readmissions reduction program, and graduate medical education. NAUH also proposes its own, detailed formula for recalculating the size of the FY 2014 Medicare DSH pool based on the difference between the calendar year in which the Congressional Budget Office projected the [&hellip

New Rules to Limit Hospital Collection Practices

The federal government has released new proposed rules governing how hospitals may go about collecting payments from patients who owe them money. Under the new rules, hospitals would need to do more to explain to patients their policies governing charity care and reduced-cost care.  In addition, certain aggressive collection practices – like attempting to collect from patients waiting for care in emergency rooms – would be banned. The proposed rules include provisions governing how hospitals may charge uninsured patients. The new rules could have an especially significant impact on private, non-profit urban safety-net hospitals because of the especially large numbers [&hellip

Proposed Medicare Inpatient Regulation Released

The Centers for Medicare & Medicaid Services (CMS) has released its proposed annual Medicare inpatient prospective payment system regulation.  This regulation ultimately will dictate how Medicare pays hospitals when the 2013 fiscal year begins on October 1, 2012. As significant as what this year’s draft regulation says is what it does not say.  Even though eligible hospitals face cuts of as much as 75 percent in their Medicare disproportionate share hospital payments (Medicare DSH) beginning in FY 2014, the proposed regulation addresses neither how Medicare DSH payments might be calculated come 2014 nor how CMS will determine how much uncompensated [&hellip

CMS Issues Revised ACO Regulation

The Centers for Medicare & Medicaid Services (CMS) has issued a revised regulation governing the accountable care organizations, or ACOs, created under the Affordable Care Act. CMS’s original draft of the regulation produced a considerable amount of criticism – and more than a few suggestions that health care providers would be unwilling to participate in ACOs under the terms CMS proposed.  The new version apparently allays many of the concerns that hospitals, doctors, and others expressed in response to the first draft. For descriptions and commentary about the new rule, how it differs from the draft, and its implications for [&hellip

Medicare Increases Inpatient Payments

Surprise!  Medicare is giving hospitals a raise.  After proposing a 0.5 percent cut in hospital inpatient payments back in April, the Centers for Medicare & Medicaid Services (CMS) has reversed course and announced that it will increase inpatient payments to hospitals by one percent in FY 2012. Learn more about Medicare’s reimbursement plans for hospitals and other providers in its newly released regulations governing hospital inpatient payments, rehab facility payments, and skilled nursing facility payments

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