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policy

In an annual report to Congress, the Medicaid and CHIP Payment and Access Commission finds an increase from 2018 to 2019 in the number of uninsured and in charity care and bad debt. The report includes state-specific projections of the Medicaid disproportionate share hospital allotment.

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policy

The guidance clarifies how hospitals receiving Medicaid disproportionate share hospital payments can use Provider Relief Fund general and targeted distribution payments.

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policy

Urge your senators and representatives to contact congressional leadership immediately and demand legislation before the end of the year that includes essential hospital priorities. 

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policy

In its March report to Congress, the Medicaid and CHIP Payment and Access Commission included chapters analyzing Medicaid disproportionate share hospital payments, state readiness to report on core quality measure sets, and Section 1115 waiver evaluations.

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policy

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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policy

Congress will focus on the looming deadline to fund the federal government and address the $4 billion cut to Medicaid disproportionate share hospital funding.

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policy

President Trump signed a short-term continuing resolution delaying disproportionate share hospital funding cuts to Nov. 22; House Speaker Pelosi launched an impeachment inquiry.

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The Senate's bipartisan action, like that of the House, recognizes the vital role essential hospitals play across the country in caring for vulnerable patients and communities — and the threat DSH cuts pose to access to care.

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policy

Lawmakers must act before Oct. 1 to stop the $4 billion cut to Medicaid disproportionate share hospital payments, extend expiring health care programs, and fund government operations for fiscal year 2020.

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policy

The ruling reinstates a 2017 final rule requiring that audits include payments from Medicare and commercial payers when calculating the hospital-specific disproportionate share hospital funding limit.

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cms, dsh

The committee’s action on DSH funding marks a significant step forward in efforts to save the safety net from a fiscal cliff Oct. 1, when a $4 billion DSH funding cut is set to take effect.

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policy

In a May 17 Capitol Hill briefing, leaders from NYC Health + Hospitals, East Alabama Medical Center, and Eskenazi Health shared how disproportionate share hospital funding sustains their hospitals.

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policy

A federal court in Washington, D.C., vacated a final rule requiring Medicaid disproportionate share hospital limit calculations to include Medicare and commercial insurance payments; the court explicitly issued a decision with nationwide impact.

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Congress made the right choice this morning for patients and communities by voting to halt damaging cuts to hospitals that care for low-income working families and others who face financial challenges.

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America's Essential Hospitals praises lawmakers for including a two-year delay of Medicaid disproportionate share hospital (DSH) payment cuts in the latest proposal to fund the federal government.

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policy

The association continues to work with congressional leadership and staff to ensure a delay of Medicaid disproportionate share hospital cuts is included in the next funding measure; Senate confirms new Health and Human Services Secretary.

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policy

The measure passed by Congress and signed by President Trump Monday funds the government through Feb. 8 and extends the Children's Health Insurance Program six years, but leaves unresolved a delay of Medicaid disproportionate share hospital cuts.

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We commend the House for funding the Children’s Health Insurance Program, but regret lawmakers chose not to extend the same support to hospitals at the center of our health care safety net.

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policy

As Congress focuses on Jan. 19 funding deadline, America's Essential Hospitals continues pressure to delay Medicaid disproportionate share hospital cuts. The Trump administration releases guidance on work requirements for Medicaid recipients.

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policy

The association launched an advocacy and media campaign calling on Congress to delay Medicaid disproportionate share hospital payment cuts as part of a long-term government funding measure.

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The association is using Capitol Hill advocacy, member mobilization, and advertising to halt current disproportionate share hospital (DSH) cuts and delay further cuts for at least two years.

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policy

Congress returns from recess to focus on long-term solutions after passing a short-term bill to fund the government through Jan. 19; lawmakers push for delay of 340B Drug Pricing Program cuts.

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Hospitals cannot sustain these losses without scaling back services or closing altogether, especially as the ranks of the uninsured swell with the end of the Affordable Care Act’s individual mandate. Congress must immediately halt the cuts when lawmakers return in January.

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policy

The bill delays disproportionate share hospital payment cuts for two years; House Republicans consider repealing the individual mandate through tax reform.

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policy

In a Nov. 2 Federal Register notice, the Centers for Medicare & Medicaid Services posted final DSH allotments for FY 2015 and preliminary allotments for FY 2017.

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America's Essential Hospitals thanks House leaders for supporting vulnerable patients and essential hospitals with a proposed two-year delay of Medicaid disproportionate share hospital funding cuts.

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policy

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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policy

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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policy

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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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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policy

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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policy

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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policy

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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policy

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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policy

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

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webinar

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
policy

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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policy

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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policy

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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policy

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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policy

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

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policy

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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policy

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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policy

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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policy

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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policy

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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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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policy

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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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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policy

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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policy

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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policy

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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policy

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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policy

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

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policy

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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policy

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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policy

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

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policy

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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policy

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

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policy

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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policy

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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webinar

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

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policy

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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policy

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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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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policy

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

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policy

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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policy

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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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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Essential Insights

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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webinar

A review of the potential implications for essential hospitals

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webinar

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

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cms, dsh
policy

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

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policy

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

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

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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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policy

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

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policy

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

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policy

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

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policy

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

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policy

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

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policy

Rule outlines CMS' methodology for annual reductions to DSH payments

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policy

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

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cms, dsh, hhs

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

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policy

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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policy

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

Payments even more important as prospects for full expansion dim

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policy

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

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policy

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

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

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policy

Rule includes proposed formula to make Medicare DSH reductions under ACA

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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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policy

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

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

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policy

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

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institute

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

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