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disproportionate share hospitals (DSH)

Senate and House bills to fund the Children's Health Insurance Program are similar, but the House version includes a one-year delay of Medicaid disproportionate share hospital cuts.

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disproportionate share hospitals (DSH)

Hospitals use the worksheet S-10 to submit uncompensated care data to the Centers for Medicare & Medicaid Services; the agency will begin using the worksheet to calculate Medicare disproportionate share hospital payments in fiscal year 2018.

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disproportionate share hospitals (DSH)

The federal fiscal year came to a close Sept. 30, ending a nearly yearlong congressional effort to repeal and replace the Affordable Care Act and bringing tax reform efforts and other health care priorities to the forefront in Congress.

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disproportionate share hospitals (DSH)

The signers of the letter to Ryan and Pelosi include 162 Democrats and 59 Republicans from 41 states. They also include five House committee chairs and 13 committee ranking members.

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disproportionate share hospitals (DSH)

Congress aims to pass legislation by Sept. 30 to stabilize the Affordable Care Act (ACA) insurance markets and reauthorize several health care programs; three senators plan to unveil new ACA repeal legislation.

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disproportionate share hospitals (DSH)

The proposed reductions are set to take effect Oct. 1; the association recommended the Centers for Medicare & Medicaid Services protect state disproportionate share hospital payment allotments from total elimination, among other suggestions.

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disproportionate share hospitals (DSH)

Substantial cuts to Medicaid disproportionate share hospital payments are set to begin on Oct. 1; strong and immediate input from essential hospitals is vital to successfully secure another delay.

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disproportionate share hospitals (DSH)

The newly released set of frequently asked questions relates to potential payment issues for Medicaid managed care patients in institutions for mental disease.

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disproportionate share hospitals (DSH)

Medicaid disproportionate share hospital payment cuts cannot be justified. America's Essential Hospitals urges member CEOs to sign a letter asking Congress for a delay.

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disproportionate share hospitals (DSH)

America's Essential Hospitals asks Congress to postpone Medicaid disproportionate share hospital payment cuts until they can reach a sustainable solution.

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disproportionate share hospitals (DSH)

The new rule would affect inpatient operating payments, Medicare disproportionate share hospital payments, and the Hospital Readmissions Reduction Program.

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disproportionate share hospitals (DSH)

An in-depth discussion on proposed Medicaid DSH reduction methodology and the association’s efforts to combat the impending cuts.

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cms, dsh
disproportionate share hospitals (DSH)

Senate committees will focus on market stabilization legislation and Children’s Health Insurance Program (CHIP) reauthorization; the association seeks to attach to the CHIP bill a delay of Medicaid disproportionate share hospital payment cuts.

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disproportionate share hospitals (DSH)

In the rule, the Centers for Medicare & Medicaid Services proposes a disproportionate share hospital (DSH) health reform methodology to determine each state’s DSH allotment reduction for each fiscal year.

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disproportionate share hospitals (DSH)

Courts in Minnesota, Tennessee, and Virginia have ruled in favor of hospitals challenging the Center for Medicare & Medicaid Services' inclusion of Medicare and commercial payments in the calculation of disproportionate-share hospital payment limits.

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disproportionate share hospitals (DSH)

The brief projects Medicaid disproportionate share hospital payment reductions under the Affordable Care Act and the House-passed American Health Care Act.

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disproportionate share hospitals (DSH)

America’s Essential Hospitals encourages CMS to improve transparency, risk adjust, and reduce regulatory burden for essential hospitals.

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disproportionate share hospitals (DSH)

A white paper calls for a stop to impending cuts to Medicaid disproportionate share hospital (DSH) payments and recommends modernizing existing DSH policy.

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disproportionate share hospitals (DSH)

It requires Medicare payments for beneficiaries dually eligible for Medicaid, and other third-party payments be included in uncompensated care calculations.

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disproportionate share hospitals (DSH)

CMS finalizes the agency's interpretation that, in determining hospital-specific DSH payment limits, the total costs of care for Medicaid inpatient and outpatient services must account for all third-party payments.

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disproportionate share hospitals (DSH)

House GOP leadership pulled the bill due to inadequate support; the association now resumes its focus on other hospital-related issues, including DSH cuts.

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disproportionate share hospitals (DSH)

This legislation is moving with unusual speed and could reach the Senate floor as early as next week if it wins House approval Thursday.

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disproportionate share hospitals (DSH)

MACPAC's March report includes analysis on Medicaid DSH and impacts of the ACA on hospitals, as well as recommendations for the future of CHIP.

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disproportionate share hospitals (DSH)

While the House bill would bring welcome relief from damaging cuts to Medicaid disproportionate share hospital payments, the association remains deeply concerned about provisions to end Medicaid expansion and impose per-capita caps on the program.

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disproportionate share hospitals (DSH)

According to reports, draft House reconciliation legislation would cut Medicaid disproportionate share hospital payments starting Oct. 1 and impose per-capita caps on Medicaid funding, resulting in devastating losses for essential hospitals.

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disproportionate share hospitals (DSH)

The House plan to repeal and replace the Affordable Care Act would rescind Medicaid disproportionate share hospital cuts and impose per-capita caps on Medicaid funding.

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disproportionate share hospitals (DSH)

The association calls on the new administration to sustain support for the safety net and reject changes that reduce spending at the expense of coverage and access.

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disproportionate share hospitals (DSH)

The notice contains state-specific, final FY 2014 disproportionate share hospital allotments, without reductions that would have been imposed under the ACA.

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disproportionate share hospitals (DSH)

Hospitals eligible for the essential community providers list are participants in the 340B and DSH programs, critical access hospitals, and others.

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disproportionate share hospitals (DSH)

The agency analyzed how subsets of hospitals, including those defined as a safety net, performed in the overall hospital star rating system.

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disproportionate share hospitals (DSH)

The rule maintains a prohibition against direct payments by states to providers for services delivered under managed care contracts and explicitly prohibits states from directing plan expenditures.

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disproportionate share hospitals (DSH)

A new proposed rule for Medicare’s Inpatient Prospective Payment System would reverse the controversial two-midnight policy payment cut and make numerous other policy and payment changes, including to quality reporting programs.

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disproportionate share hospitals (DSH)

Association thanks commission for "thoughtful and sobering analysis" of disproportionate share hospital funding, agrees with recommendation for better targeting.

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disproportionate share hospitals (DSH)

Rule includes a net increase in IPPS payment rates of 0.9 percent, Medicare DSH cuts of $1.2 billion in FY 2016, and updates to the HAC Reduction, Hospital VBP, IQR, and EHR Incentive programs.

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disproportionate share hospitals (DSH)

Member panel will exchange information, advise association on recent CMS proposal to restrict states' ability to direct supplemental payments; please express interest by July 17.

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disproportionate share hospitals (DSH)

Report suggests financial incentive for hospitals to prescribe 340B drugs, a claim America's Essential Hospitals calls unfounded and troubling.

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disproportionate share hospitals (DSH)

Comments caution CMS about Medicare DSH payment cuts and urge CMS to ensure measures and methodologies used in quality reporting programs are adjusted for sociodemographic factors.

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disproportionate share hospitals (DSH)

GAO found that CMS lacks adequate data to conduct provider-level oversight of Medicaid payments to ensure payments are used for Medicaid patients in an economical and efficient manner.

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disproportionate share hospitals (DSH)

Association says proposed hospital cuts would jeopardize access to care for vulnerable patients and vital services for entire communities

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disproportionate share hospitals (DSH)

A district court has granted a preliminary injunction restricting HHS and CMS from altering the hospital-specific DSH limit without following notice-and-comment procedures.

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disproportionate share hospitals (DSH)

Agency reverts to position recommended by America's Essential Hospitals to define uninsured status at the service level for purposes of calculating DSH payments; sets Dec. 31 as start of new policy

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disproportionate share hospitals (DSH)

Review the results and impact of the 2014 midterm elections, and share strategies on preparing for the 114th Congress.

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disproportionate share hospitals (DSH)

Plans include evaluating potential data sources, constructing an operational model to estimate state-level DSH allocations, and consulting with stakeholders throughout the process.

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disproportionate share hospitals (DSH)

The definition would be used for determining Medicaid DSH costs. Association urges policy that accurately captures the actual burden of uncompensated care, particularly before DSH cuts and recoupment based on DSH audits begin.

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disproportionate share hospitals (DSH)

Association joins lawmakers in call for non-expansion states to 'do the right thing now' and support vulnerable patients and their hospitals.

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disproportionate share hospitals (DSH)

Comments cover topics such as Medicare disproportionate share hospital payment cuts and risk adjustment for socioeconomic status.

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disproportionate share hospitals (DSH)

A recent study found that planned reductions in Medicaid DSH payments and ongoing inflation in health care costs will cause debilitating gaps in funding for essential hospitals. Expected system costs to states that do not expand Medicaid will be exacerbated by continued uncompensated care costs and no additional Medicaid funds to offset them.

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disproportionate share hospitals (DSH)

Providers with pending appeals on the number of Medicaid eligible days used in the calculation of the Medicaid fraction of their disproportionate patient percentage must provide supporting information and documentation to the PRRB by July 22.

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disproportionate share hospitals (DSH)

Cuts to disproportionate share hospital payments and federal support for hospitals' bad debt, as well as reductions in graduate medical education funding, threaten to hurt the same people who would benefit from tax relief in the administration's fiscal year 2015 budget.

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disproportionate share hospitals (DSH)

We will continue to fight for changes to the Medicaid DSH cuts that are scheduled to begin in FY 2016. At the same time, we will take action on other issues that are important for essential hospitals, including ensuring marketplace health insurance plan network adequacy and protecting vital hospital funding.

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disproportionate share hospitals (DSH)

A review of the potential implications for essential hospitals

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disproportionate share hospitals (DSH)

Policy and legislative experts discussed the proposed rule and implications for essential hospitals

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cms, dsh
disproportionate share hospitals (DSH)

Budget bill eliminates FY 2014 Medicaid DSH cuts, delays FY 2015 cuts

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disproportionate share hospitals (DSH)

House votes to restore some DSH funding. SGR bill directs HHS to monitor DSH need

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disproportionate share hospitals (DSH)

Calls action "important step toward protecting access to vital health care and community services for millions"

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disproportionate share hospitals (DSH)
disproportionate share hospitals (DSH)

Millions of vulnerable patients "in a terrible bind" with no access to expanded coverage, billions less in funding for their care

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disproportionate share hospitals (DSH)

Medicare DSH payments compensate hospitals for costs associated with low-income patient care

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disproportionate share hospitals (DSH)

The rule outlines reporting and cost parameters for states and individual hospitals

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disproportionate share hospitals (DSH)

Held nearly 100 meetings, educated Congress about work to ensure patient access to high quality care

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disproportionate share hospitals (DSH)

Siegel, Gremminger highlighted the importance of delaying, reconsidering scheduled Medicaid DSH cuts

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disproportionate share hospitals (DSH)

Rule implements the Affordable Care Act's Medicaid DSH cuts for fiscal years 2014 and 2015

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disproportionate share hospitals (DSH)

Rule outlines CMS' methodology for annual reductions to DSH payments

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disproportionate share hospitals (DSH)

Talk focused on insurance coverage expansion activities and impact on essential hospitals

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cms, dsh, hhs
disproportionate share hospitals (DSH)

Says Bloomberg Government report underscores "uncertain and deeply troubling future for vulnerable patients"

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disproportionate share hospitals (DSH)
disproportionate share hospitals (DSH)

Analysis from the Kaiser Family Foundation Commission on Medicaid and the Uninsured found that 6.4 million people will miss out on insurance coverage if the 21 states not intending to expand their Medicaid program and the six undecided states do not implement the Medicaid expansion.

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disproportionate share hospitals (DSH)

Urges CMS to incentivize states to target DSH at hospitals with high levels of uncompensated care and Medicaid patients

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aca, dsh
disproportionate share hospitals (DSH)

Payments even more important as prospects for full expansion dim

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disproportionate share hospitals (DSH)

Calculation will determine reduction to each state's DSH allotment for FYs 2014 and 2015

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disproportionate share hospitals (DSH)

Rule proposes implementation of the Affordable Care Act's Medicaid DSH cuts

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disproportionate share hospitals (DSH)

Renews call for Congress to delay Medicaid DSH cuts to allow time for informed, rational funding discussions

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disproportionate share hospitals (DSH)

Rule includes proposed formula to make Medicare DSH reductions under ACA

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disproportionate share hospitals (DSH)

FOR IMMEDIATE RELEASE April 26, 2013 Statement attributable to: Beth Feldpush Senior Vice President for Policy and Advocacy National Association of Public Hospitals and Health Systems WASHINGTON – “NAPH is deeply disappointed with how CMS has proposed to calculate hospitals’ uncompensated care costs. While we share the agency’s concerns about the reliability of S10 data,

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disproportionate share hospitals (DSH)

Includes important changes to Medicaid and Medicare of interest to association members

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disproportionate share hospitals (DSH)

Notes appreciation of one-year DSH cut delay, but says provision comes at expense of funding later

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disproportionate share hospitals (DSH)

Legislation did not cut Medicaid provider taxes, Medicare E&M, but targeted hospitals in other ways

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disproportionate share hospitals (DSH)
disproportionate share hospitals (DSH)
disproportionate share hospitals (DSH)

Read findings about uncompensated care, patient volumes, and care delivery to underserved populations

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disproportionate share hospitals (DSH)

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.