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Essential Insights

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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policy

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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policy

The rule increases inpatient operating payment rates by 3.1 percent, makes other payment and quality reporting policy changes, and estimates a $140 million increase in Medicare disproportionate share hospital payments.

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policy

Hospitals with the greatest proportion of Medicare patients dually eligible for Medicaid had decreased readmissions penalties, according to a study in JAMA Internal Medicine.

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Essential Insights

A recent webinar shared research findings and tools for health care providers to initiate conversations about cost of medication with vulnerable patients.

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state-action

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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policy

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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policy

The association strongly encourages essential hospitals to submit individual comments with specific examples of how your institution addresses social risk factors among Medicare beneficiaries; comments are due Nov. 16.

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policy

The final rule increases Medicare inpatient payment rates to acute care hospitals by 1.85 percent, revises electronic health record requirements, and changes the payment adjustment methodology for the Hospital Readmissions Reduction Program.

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policy

America's Essential Hospitals urged the Centers for Medicare & Medicaid Services to implement its Medicare disproportionate share hospital payment methodology and quality measurement programs in a way that accounts for the unique needs and patient populations served by essential hospitals.

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policy

A new proposed rule for Medicare’s Inpatient Prospective Payment System for fiscal year 2019 would increase inpatient operating payment rates by 1.75 percent.

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quality

Shifting from condition-specific to hospitalwide measures in the Hospital Readmissions Reduction Program would significantly increase penalties for hospitals with many vulnerable patients.

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webinar

Explore Whole Person Care, a pilot initiative through California’s Section 1115 Medicaid waiver that works to improve care for people with complex issues by tackling medical, behavioral, and socioeconomic needs.

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webinar

This webinar explored how technology demands and a safety-net mission influence other measures of hospital quality, safety, cost, and value.

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policy

The final rule updates Medicare inpatient rates to acute care hospitals by 1.21 percent, provides flexibility in reporting of electronic clinical quality measures, and changes the payment adjustment methodology for the Hospital Readmissions Reduction Program.

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policy

Of the 303 performance measures submitted during the trial period, 65 were determined to have a conceptual basis for adjustment for social risk factors.

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policy

The proposed rule would increase outpatient payment rates by 1.75 percent and drastically reduce Medicare Part B reimbursement for drugs purchased through the 340B Drug Pricing Program.

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policy

The National Quality Forum draft report evaluates the effectiveness of the two-year trial that risk-adjusted performance measures for socioeconomic status.

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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

The study found that the penalty burden was greater in hospitals treating a high share of patients with socioeconomic disadvantages.

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policy

The rule contains provisions on the Hospital Readmissions Reduction Program, Medicare DSH, the Inpatient Quality Reporting program, and more.

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Association calls the fiscal year 2018 Inpatient Prospective Payment System proposed rule a welcome first step toward broader recognition in federal health policy of challenges that affect the health of vulnerable patients.

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quality

The rankings provide a county-level “snapshot” of health and can help essential hospitals identify the needs of the communities they serve.

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quality

Of particular note, NQF's Measure Applications Partnership acknowledged the need for more research to understand the role of socioeconomic status in health.

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policy

Essential hospitals can expect the new Congress' Republican leaders to follow through quickly with their pledge to repeal the Affordable Care Act.

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policy

Lawmakers approve funding for the federal government through April 28, 2017, and pass legislation that includes two key advocacy wins for essential hospitals: socioeconomic risk adjustment and partial relief from outpatient department payment cuts.

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policy

The legislation, expected to quickly receive the president's signature, includes two key advocacy goals for the association: risk adjustment of the Hospital Readmissions Reduction Program and partial relief from hospital outpatient department payment cuts.

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With their vote, senators have helped level the playing field for essential hospitals by risk adjusting readmissions measures that unfairly penalize hospitals for factors outside their control.

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policy

Congress plans to vote on a continuing resolution to keep the government running past Dec. 9. The Senate is expected to pass 21st Century Cures legislation.

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webinar

In this webinar we looked back at the 2016 advocacy landscape, discussed the progress we have made on key issues affecting essential hospitals, reviewed our interaction with the Trump transition team, and looked forward to 2017. Webinar Recording

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Essential hospitals thank House lawmakers for voting to protect access to health care services for vulnerable patients and underserved communities by accounting for patients' social and economic status in the Hospital Readmissions Reduction Program (HRRP).

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policy

Congress is poised to pass legislation that would include socioeconomic risk adjustment for the Hospital Readmissions Reduction Program and some relief from payment cuts for new hospital outpatient departments.

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policy

Lawmakers are closing in on negotiations for 21st Century Cures legislation and also working to complete a short-term continuing resolution to fund the federal government through March 2017.

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policy

The campaign of online and print advertisements and media outreach calls on Congress to pass legislation to risk adjust the Hospital Readmissions Reduction Program.

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policy

Association president and CEO argues that hospitals serving disadvantaged communities are penalized by federal quality initiatives that do not account for socioeconomic obstacles.

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quality

The report aims to identify social risk factors that affect beneficiaries' health outcomes and methods to account for these factors in payment programs.

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webinar

Learn now this California hospital researched best practices for sexual orientation and gender identity data collection and used it to create a culture of inclusiveness.

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institute

This brief summarizes the challenges that food-insecure patients face and the measures hospitals can take at the patient, system, and community levels to help improve food security.

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policy

The legislation would incorporate risk adjustment for socioeconomic status into Medicare's Hospital Readmissions Reduction Program.

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policy

Panel approves bill that would add socioeconomic risk adjustment to Medicare's readmissions reduction program and avert some cuts to hospital outpatient departments.

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institute

Updated: Annals of Surgery article covering the impact of patient socioeconomic status on operative mortality.

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quality

Hospitals that perform well in quality programs—despite serving high levels of vulnerable patients—invest in health equity, data, collaborative partnerships, patient engagement, and more.

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policy

Changes will more accurately reflect cost of care for dual eligibles and adjust Medicare Advantage star ratings for enrollees' socioeconomic and disability statuses.

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policy

Material note association concerns about, and help members prepare for, April 21 public release of Hospital Compare star ratings.

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webinar

Prepare for the April 21 public release of Medicare Hospital Compare five-star ratings.

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Thought leaders recommend stratifying data by socioeconomic and other characteristics, and reducing language barriers to improve health care equity.

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policy

Budget plan would improve Medicaid access and coverage and tackle drug pricing, but make damaging Medicare cuts; lawmakers examine Medicaid housing coverage, FMAP, 21st Century Cures, mental health.

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policy

State hospital association says risk adjusting CMS readmissions methodology results in significantly less variation in measured quality differences among hospitals.

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policy

First of five consensus reports from National Academy of Medicine (NAM) ad hoc committee identifies social risk factors for Medicare payment and quality programs, and the measures they can impact.

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quality

Accountable Health Communities to test whether clinical and community-based services alignment can improve care quality and affordability. CMS offers webinars on grant application process; letters of intent are due Feb. 8.

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policy

Member leaders attend more than 100 meetings with lawmakers and congressional staff as part of fall Policy Assembly. Event also included insights from policymakers and a Capitol Hill reception honoring 2015 Gage Award recipients.

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policy

Letter to congressional leaders, signed by more than 100 hospital executives, calls for passage of bills to adjust Medicare readmissions program for socioeconomic status

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quality

CMS is proposing to risk adjust stroke mortality measures for stroke severity, which is a positive step. But measures should also account for sociodemographic factors that complicate care for vulnerable patients.

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Essential Insights

Los Angeles County Department of Health Services is using county health funds to house and care for the homeless. California wants to with Medicaid funds.

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policy

The final policy takes into account changes to Medicare DSH payments, improving the accuracy of payments to hospitals.

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policy

America's Essential Hospitals supports legislation, which seeks to ensure hospitals are not unfairly penalized for patients' sociodemographic challenges

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policy

Document, developed by association's policy advisory committee, demonstrates essential hospitals' commitment to and promotion of care equity, and supports risk adjustment for sociodemographic status in certain quality improvement measures

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Essential Insights

Top issues include protecting Medicaid and Medicare from cuts, protecting the 340B program, and risk adjusting quality incentive program measures

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quality

The principles highlight the generally agreed-upon elements of current evidence-based diabetes care, including management and prevention.

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institute

Recent journal articles explore socioeconomic status, accountable care organizations, and other issues relevant to essential hospitals.

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Essential Insights

Recent work by National Quality Forum to adjust quality and performance measures for social determinants of health of particular significance to essential hospitals, which disproportionately care for sicker, more complex patients

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