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Essential hospitals are committed to transparent, accurate quality measurement, but a single hospital star rating oversimplifies a complex and personal decision.

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America's Essential Hospitals this week is closely following congressional health care committee efforts to develop a robust legislative package to stop impending cuts to Medicaid disproportionate share hospital funding and extend funding for several expiring health care programs.

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The recommendations come after a GAO review of more than 250 nongovernmental hospitals found several issues with how the Health Resources and Services Administrative oversees 340B program compliance.

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Health care providers should notify state and local health departments if patients have severe respiratory symptoms after traveling to Wuhan City, China.

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In an informational bulletin to state Medicaid agencies, CMS provides best practices to avoid duplicate discounts on drugs purchased through the 340B Drug Pricing Program.

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New research shows essential hospitals are building capacity for community-integrated health care — reaching outside their walls to partner with government, social services, and other sectors to improve social determinants of health.

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Two new resources share the Institute’s research on essential hospitals’ social determinants of health work and a set of milestones to aid in adopting community-integrated health care.

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After delaying Medicaid DSH cuts and extending funding for other health care programs by five additional months, congressional leaders are expected to leverage the new May 22 expiration date to advance bills to lower drug prices and protect patients from surprise medical bills.

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The new guidelines reflect revised conditions of participation in the September 2019 discharge planning and burden reduction final rules.

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CMS granted a 15-day comment period extension for the Medicaid Fiscal Accountability Regulation. Comments are now due to the agency on Feb. 1, 2020.

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America’s Essential Hospitals said the federal Anti-Kickback Statute and Physician Self-Referral Law should be modified to remove barriers to coordinating care for the complex patients essential hospitals serve.

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Congress approved and the president signed a fiscal year 2020 spending package that delays through May 22, 2020, a $4 billion cut to Medicaid disproportionate share hospital payments.

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A U.S. Court of Appeals panel upheld a ruling on the constitutionality of the individual mandate but returned the case to a lower court to decide whether that nullifies the entire law.

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The agency announced awardees for two new models that seek to improve care coordination for children and for mothers with opioid use disorder.

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Congressional leaders have delayed for five months a $4 billion cut to Medicaid disproportionate share hospital payments under comprehensive legislation to fund federal operations for the remainder of fiscal year 2020, which started Oct. 1.

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During a one-hour webinar, participants learned how health systems nationwide are exploring ways to help mitigate food insecurity.

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Today's House vote on a spending package and Senate support will avert the harm sure to result from a $4 billion payment cut for hospitals that care for millions of low-income people. Now, we must turn to longer-term relief for essential hospitals and their patients.

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The report is based on feedback gathered during a September listening session, in which more than 300 stakeholders shared recommendations for improving predictability, stability, and relevance of star ratings.

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The package, expected to become law, would delay a $4 billion cut to Medicaid disproportionate share hospital payments through May 22, 2020. It does not include proposals to reduce surprise medical bills or prescription drug prices.

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Through this newly approved Section 1115 demonstration waiver, South Carolina becomes the first state to apply work requirements primarily to parents and caregivers.

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Beginning Jan. 1, 2020, CMS will start to adjust claims that were paid at the reduced rate. The agency also filed a notice appealing its case to the U.S. Court of Appeals for the District of Columbia Circuit.

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Bipartisan Senate committee leaders released drug pricing legislation that includes a provision to eliminate $12 billion of Medicaid disproportionate share hospital cuts over two years. House and Senate committees announced bipartisan legislation to end surprise billing.

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State Medicaid directors named delivery system and payment reform as their top priority in an annual operations survey from the National Association of Medicaid Directors.

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America's Essential Hospitals is pleased to see that bipartisan Senate drug pricing legislation would repeal two years of Medicaid disproportionate share hospital payment cuts.

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Lawmakers have three weeks to agree on funding for the federal government and various health care programs, including Medicaid disproportionate share hospital payments. The House resumes its impeachment investigation with a Judiciary Committee hearing.

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America’s Essential Hospitals expressed concern that a proposed drug acquisition cost survey would impose excessive burden on hospitals and raise many operational challenges.

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The Centers for Medicare & Medicaid Services issued a Nov. 18 proposed rule, the Medicaid Fiscal Accountability Regulation, that would make sweeping changes to how states finance the nonfederal share of their Medicaid programs.

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The latest continuing resolution, which funds the government through Dec. 20, will give Congress more time to negotiate a longer-term agreement on government spending and relief from impending cuts to Medicaid disproportionate share hospital payments.

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States are leveraging financial incentives, quality measures, waivers, and public-private partnerships to slow climbing rates of substance use disorder and overdose among pregnant women.

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Essential hospitals The MetroHealth System, UC Health, and The Ohio State University Wexner Medical Center play a key role in opioid misuse prevention and intervention.

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We thank House and Senate lawmakers for again standing with essential hospitals and vulnerable patients by delaying an unsustainable, damaging cut to Medicaid disproportionate share hospital payments.

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New requirements call for hospitals to post charges and information based on rates negotiated with third-party payers, as well as standard charge data for a limited set of “shoppable” services, in a consumer-friendly manner.

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The House is scheduled to vote on a continuing resolution that would extend federal funding through Dec. 20 and further delay a scheduled $4 billion cut to Medicaid disproportionate share hospital (DSH) payments; House impeachment hearings continue.

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The report includes updated statistics and, for the first time, uses electronic health data from hospitals to calculate infection and death rates.

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In a letter to the Department of State, America’s Essential Hospitals expressed concern that broadening the definition of public charge would harm the nation’s health care system, vulnerable patients, and state and local economies.

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The agency published new requirements for hospitals to publicly post standard charges, including information based on rates negotiated with third-party payers. 

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The toolkit includes a decision-making framework for antibiotic prescribing and strategies for developing an antibiotic stewardship program.

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The agency proposes to increase transparency in Medicaid supplemental payments and impose more stringent requirements on those payments and their financing for states and providers.

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Rather than empower consumers with meaningful information, the administration's plan only would give health plans an unfair advantage in negotiations with providers and put access to care at risk.

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In this new report, Essential Hospitals Institute explores ongoing work by essential hospitals toward climate resiliency and makes recommendations for policymakers and funders to support the steps they are taking to mitigate their contribution to climate change.

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Spring 2020 Policy Assembly

Our first Policy Assembly of 2020 will give our members an opportunity to build on existing relationships, create new ones, and educate lawmakers and their staff about the vital role essential hospitals play in their communities.

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VITAL2020

Join us June 17-19 in Chicago for a program unequaled in its focus on the mission-driven hospital. VITAL2020 will arm you with the knowledge you need to keep your hospital on the forefront of innovation.

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Tour Population Health Programs

Visit EssentialCommunities.org to learn how our hospitals target social and economic factors to improve health. Take a virtual tour of population health programs nationwide, discover new resources, and share your programs.

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