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Jan. 18 rule finalizes additional restrictions proposed in November 2016 on the ability of states to increase or add new pass-through payments under Medicaid managed care plan contracts.

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When a fire broke out at the University of Texas Medical Branch's John Sealy Hospital, 110 patients, their visitors, and the staff had to evacuate.

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The report is the last in a series of five by an ad hoc committee focused on social risk factors that affect the health outcomes of Medicare beneficiaries.

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Late on Jan. 11, the Senate passed S. Con. Res. 3, the FY 2017 budget resolution, an important first step among several needed to repeal much of the ACA.

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Debate and amendment votes in the Senate are expected though the weekend. The Senate measure then will go to the House for consideration.

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The new Center for Medicare and Medicaid Innovation model aims to boost participation from small rural hospitals and other smaller health care practices.

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The regulation makes "penny pricing" final and sets fines of up to $5,000 per instance of a manufacturer overcharging providers for covered medications in the 340B Drug Pricing Program.

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OIG found that the federal portion of spending on catastrophic coverage reached $33.2 billion in 2015, compared with $10.8 billion in 2010.

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Crew resource management, which focuses on situations prone to negative outcomes by human error, helped the Columbus, Ohio, essential hospital improve performance and generate savings.

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Hawaii is the first state to receive approval for a Section 1332 waiver, and will be allowed to close its Small Business Health Options Program for five years.

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CMS also expanded the Comprehensive Care for Joint Replacement (CJR) model to include surgical hip/femur fracture treatment.

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Essential hospitals can expect the new Congress' Republican leaders to follow through quickly with their pledge to repeal the Affordable Care Act.

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The changes, which reflect stakeholder feedback and the large volume of changes to ICD-10 in FY 2017, will be available on the National Library of Medicine’s Value Set Authority Center this month.

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New guidance describes how off-campus hospital provider-based departments can maintain their grandfathered status when relocating due to extraordinary circumstances.

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The new resources — including a mobile app, series of short videos, posters and more — are meant to help providers follow guidelines issued in March 2016.

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Up to $485 million annually will be awarded to up to 59 entities, with allocations based on a formula of unmet need and the number of drug-poisoning deaths.

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The report finds that dual enrollment status was “the most powerful predictor of poor outcomes” on many quality measures.

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These new EPMs and the updated CJR model will give clinicians more opportunities to earn incentive payments through advanced alternative payment models.

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Of particular interest to essential hospitals, CMS revised the Worksheet S-10, which hospitals use to report uncompensated care data.

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A CMS spokesperson said the project was pulled after the agency reviewed public comments — there were more than 1,300 comments submitted, mostly negative.

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CMS finalized a proposal to continue the current methodology, which qualified health plans use to satisfy the minimum essential community provider standard.

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MACPAC's recommendation is part of a larger package of suggestions meant to improve coverage for children in low- and moderate-income families.

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CMS will partner with up to six states on the new Medicare-Medicaid ACO Model, which was designed by the CMS Innovation Center.

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The data show about 125,000 fewer patients died because of hospital-acquired conditions from 2010 to 2015, resulting in a savings of $28 billion.

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About America’s Essential Hospitals

America’s Essential Hospitals is the leading association and champion for hospitals and health systems dedicated to high-quality care for all, including the most vulnerable. Since 1981, America’s Essential Hospitals has initiated, advanced, and preserved programs and policies that help these hospitals ensure access to care. We support members with advocacy, policy development, research, and education.

America’s Essential Hospitals was formerly known as the National Association of Public Hospitals and Health Systems (NAPH). Carrying our mission since 1981 into today's health care era

Learn more about the name change »