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Sustaining Essential Care

Protecting funding streams and policy or regulatory issues important to the vitality of our members

Directed Payments: The Future of Accountable Medicaid Financing?

Directed payments through Medicaid managed care plans have avoided much of the confusion — even suspicion — that surrounds other supplemental support to providers. But as policy evolves, will the accountability and transparency built into this payment mechanism be sufficient in the long run?

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Medicaid Policy in 2019: Expansion

Rachel Schwartz

Decisions made at the state and federal levels regarding Medicaid expansion continue to evolve nearly a decade after passage of the Affordable Care Act.

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Medicaid: A Growing Share of States’ Budgets

As states’ Medicaid costs rise with every budget cycle, many are exploring new approaches to manage program spending by targeting rising prescription drug costs.

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Federal Action Aims to Curb Rising Medicaid Drug Costs

Zina Gontscharow

The nature of the Medicaid program means these skyrocketing costs have strained federal and state resources, prompting action through both policy and legislation.

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GR Academy: Elevating Essential Hospital Advocates

Emily Schweich

Government Relations Academy alumnae Elisa Hernández and Amy Carta share their experiences in the program and the value of applying new advocacy tools.

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Finance and Payment Policy: 3 Key Insights from VITAL2018

Kimberly Green

Several presentations at VITAL2018 focused on a foundational issue for essential hospitals—finance and payment policy—and provided member insights on topics such as Section 1115 Medicaid waivers, state policy trends in the 340B Drug Pricing Program, and digitizing the revenue cycle.

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Promoting Better Health Through the Tax Code

Rachel Schwartz

Public policies that address social determinants of health should be promoted whenever possible — including in the current tax debate.

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Immigration Policies Create Uncertainty for Health Care Workforce

Shahid Zaman

Immigration orders by the Trump administration already have limited the ability of hospitals to recruit the world’s most qualified medical graduates.

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White House Targets Millennials for Health Coverage

Madeline White

The White House held a summit on increasing health coverage among young adults ahead of the next open enrollment period under the ACA, which begins Nov. 1.

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New to Waivers or Veteran, this Is the Summit for You

As essential hospitals leaders, we all need to stay on top of the evolving landscape for Medicaid Section 1115 waivers. Medicaid waivers offer a key opportunity to make health care delivery more effective and efficient – and to reduce our uncompensated care burden. Consider our experience in Texas. Over the life of the Texas Health

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Medicaid Expansion Could Be Key to Improving Essential Hospitals’ Margins

Rachel Schwartz

Georgetown University and Kaiser Family Foundation studies suggest Medicaid expansion might be key to improving financial outcomes for essential hospitals.

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Essential Hospitals Make Pitch for ACA Enrollment

Carl Graziano

As Jan. 31 open enrollment deadline looms, association spreads the word about ACA coverage options and tools to assess coverage needs and cost.

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