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Affordable Care Act–mandated reporting requirements for tax-exempt hospitals remain in effect despite ongoing lawsuits and a Senate Finance Committee inquiry.

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In a recent webinar, presenters shared research and tools to break down barriers to having cost conversations with patients.

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This State Policy Snapshot summarizes common state policy approaches to balance billing, also called surprise bills, and the status of related state laws and regulation.

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America's Essential Hospitals reviews examples of state-led litigation and state legislation regarding various coverage-related provisions of the Affordable Care Act.

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The report includes recommendations on several issues of importance to essential hospitals, including hospital inpatient and outpatient services, hospital quality incentive programs, and alternatives to opioids.

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Hospitals can use these tools to build the workforce and leadership they need to improve population health in their communities.

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A new analysis finds the number of filled opioid prescriptions fell by 13 percent across states between 2006 and 2017, but the prescribing rate of long-term opioid prescriptions rose from 18 to 25 percent of all prescriptions.

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A new toolkit from the Essential Hospitals Institute will help find and develop professionals who can lead population health initiatives. The toolkit details a core skill set for population health executives and includes a template job description and skill assessment worksheets.

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Lawmakers have introduced bipartisan legislation to give states additional support for combating the opioid crisis by extending Medicaid's certified community behavioral health clinic demonstration program. Committees remain focused on prescription drug prices.

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State legislators in Illinois, Michigan, and New York seek to limit the number of patients that hospital nurses can treat at a time.

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The report proposes three recommendations responding to Medicaid disproportionate share hospital allotment reductions and responds to concerns about the accuracy and completeness of available upper payment limit data.

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Communities served by essential hospitals experience a disproportionate prevalence of transportation barriers. This challenge creates an opportunity for essential hospitals, in conjunction with state policy levers, to help mitigate such barriers.

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A new Trust for America’s Health report spotlights 13 evidence-based policies state officials can use to promote health and well-being and lower health care costs.

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The tools and guidance aim to help states monitor and evaluate the effects of Section 1115 waiver demonstrations, including those with work and community engagement requirements and those that combat substance use disorder.

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Ohio’s waiver requires beneficiaries ages 18 to 49 who are eligible through Medicaid expansion to work or participate in other community engagement activities for at least 80 hours a month.

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The Medicaid and CHIP Payment and Access Commission analysis shows hospitals that care for Medicaid and uninsured patients still depend on Medicaid disproportionate share hospital payments to meet this mission. Congress must act now to stop the October disproportionate share hospital payment cuts.

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Despite a recent measles outbreak across the U.S., legislators in New York, Texas, and other states are considering bills to relax vaccine requirements. Meanwhile, Washington state is working to remove its "personal belief" exemption for the combined measles, mumps, and rubella vaccine.

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The NYC Health + Hospitals/Bellevue program encourages patients with cardiometabolic risk factors to transition to a plant-based diet.

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Adjusting for social risk factors in Medicare's Hospital Readmissions Reduction Program results in decreased penalties for hospitals serving a safety-net role.

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The president's fiscal year 2020 budget plan calls on Congress to significantly reform the two programs, including ending Medicaid expansion and changing Medicare uncompensated care payments.

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This funding opportunity supports the formation of Maternal Mortality Review Committees, which will work with the agency to collect and analyze maternal death data.

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This quality improvement and patient safety forum features expert speakers, transformation strategy workshops, and networking opportunities.

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The budget plan proposes to overhaul the Medicaid program, as well as significantly change the 340B Drug Pricing Program and expand site-neutral payment policies in hospital outpatient departments.

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The revised Appendix Q to the State Operations Manuals includes key changes to the immediate jeopardy definition. CMS also released updated online training and a template to assist surveyors.

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The March 11 webinar will review publication of 340B Drug Pricing Program ceiling prices and the process by which covered entities can report 340B pricing issues.

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Long-expected "Medicare-for-all" bill formally introduced; Congressional hearings continue to focus on rising health care costs and prescription drug prices.

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A new Vital Signs report calls on health care providers to increase prevention efforts for Staphylococcus aureus infections.

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The lawsuit asserts that the policy adopted by the Centers for Medicare & Medicaid Services is unlawful and unenforceable because it conflicts with federal statutes and violates congressional intent.

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Hospitals now have until March 14 to submit data for the Medicare Promoting Interoperability and Hospital Inpatient Quality Reporting (IQR) programs.

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The agency posted potential changes to the star ratings program for public comment, including potential hospital peer grouping.

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February is American Heart Month, and essential hospitals are leaders in prioritizing cardiovascular wellbeing, especially in vulnerable communities.

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We find it unfortunate that the Centers for Medicare & Medicaid Services decided to publish hospital star ratings today even as the agency proposed changes that recognize ongoing flaws in the ratings methodology.

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With a keen knowledge of community needs and resources, community health workers can have a powerful influence on health outside hospital walls.

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Updated Centers for Medicare & Medicaid Services data show opioid prescribing rates across state Medicaid programs in 2016 ranged from 2.9 percent to 9.4 percent, compared with the national average of 5.4 percent.

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Seven pharmaceutical company executives will testify in a Senate Committee on Finance hearing about prescription drug pricing practices.

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The Centers for Medicare & Medicaid Services updated the Promoting Interoperability Programs website with new resources for the 2019 program year. The agency also announced two calls on the recently released interoperability and patient access proposed rule.

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The project, funded by The Kresge Foundation, will examine what support essential hospitals need to achieve climate resiliency—making hospitals and communities better able to adapt to climate change—and the challenges they face reaching that goal.

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bmc

A Centers for Medicare & Medicaid Services bulletin notes that states can cover non-opioid pain management therapies using several Medicaid authorities, including Section 1945 health home benefits, 1915(i) state plan amendments, Section 1115 demonstrations, and managed care strategies.

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California’s newly-elected governor signed an executive order to establish a single-payer prescription drug purchasing system. The Supreme Court strikes down Maryland’s anti-pricing gouging law as the state legislature considers creating a prescription drug affordability board.

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Hospitals in the Inpatient Quality Reporting, Prospective Payment System–Exempt Cancer Hospital Quality Reporting, and Hospital Outpatient Quality Reporting programs can view their reports through March 9.

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Register For VITAL2019

Register today for the nation’s only conference designed for essential hospitals. VITAL2019 will provide you with the knowledge necessary to keep your hospital on the forefront of innovation.

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Volunteer With Us

As a member of the essential hospitals community, we invite you to volunteer. We have opportunities for everyone – from long-term, strategic leadership positions to short-term, project-based activities.

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Value-Based Care Collaborative

Our new partnership with Premier will help association members manage financial risk for Medicaid, uninsured, and underinsured populations and integrate their work on social determinants of health with value-based care.

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