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policy

The Build Back Better Act, now under consideration in the Senate, contains damaging cuts to Medicaid disproportionate share hospital and uncompensated care pool payments and lacks critical infrastructure funding for essential hospitals.

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institute

This annual snapshot of America's Essential Hospitals' membership tells a story about the essential people and communities our members serve.

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policy

The Centers for Medicare & Medicaid Services’ proposed fiscal year 2022 Inpatient Prospective Payment System rule would increase operating payment rates by 2.8 percent, repeal market-based data collection, and add 1,000 new graduate medical education teaching slots, among other provisions.

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Findings from the association’s annual member survey show essential hospitals face high and growing uncompensated costs and care for patient groups that have suffered disproportionally during the COVID-19 pandemic.

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The administration’s final rule on the public charge definition worsens the chilling effect that threatens the health of millions of people by making it more likely they forgo care for themselves and their families to avoid putting their legal immigration status at risk.

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policy

A new proposed rule would increase inpatient operating payment rates by 3.2 percent and make other changes to Medicare payment and quality reporting policies. CMS is accepting comments on the proposed rule until June 24.

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New data from America’s Essential Hospitals show that persistently high levels of uncompensated and charity care pushed average margins down to one-fifth that of other hospitals in 2017, reflecting financial pressure that could deepen with federal funding cuts this year.

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state-action

The legislation requires the state’s hospitals to make more of their financial information publicly available and calls on the state Department of Health Care Policy and Financing to develop an annual report on uncompensated hospital costs and expenditures.

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policy

The president's fiscal year 2020 budget plan calls on Congress to significantly reform the two programs, including ending Medicaid expansion and changing Medicare uncompensated care payments.

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policy

A new notice makes technical and typographical corrections to the fiscal year 2019 Inpatient Prospective Payment System final rule.

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The annual report from America's Essential Hospitals shows the association's members provided disproportionate levels of uncompensated care, charity care, and physician training in 2016.

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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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The chief executives of 18 of the nation’s largest hospital systems that care for low-income patients asked congressional leaders for a two-year delay of Medicaid disproportionate share hospital payment cuts.

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policy

The guidance defines courtesy discounts, defines when a bad debt is "written off," provides clarity about unpaid coinsurance and deductibles, and more.

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policy

The waiver extensions fund Texas' uncompensated care pool and delivery system reform incentive payment program and provide family planning services for low-income individuals in Mississippi for 10 years.

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policy

The Centers for Medicare & Medicaid Services previously had extended the revision deadline to Oct. 31, following numerous changes to the worksheet S-10.

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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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America's Essential Hospitals appreciates the one-year delay of cuts to disproportionate share hospital payments and will continue to work with lawmakers on both sides of the aisle for a two-year delay to provide greater stability for hospitals and more time to find a long-term fix.

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

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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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webinar

Attendees heard about the current status of health care legislation, including efforts to repeal and replace the Affordable Care Act.

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policy

Of particular interest to essential hospitals, CMS revised the Worksheet S-10, which hospitals use to report uncompensated care data.

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policy

The deadline for hospitals to amend their Medicare cost report Worksheet S-10 for fiscal year 2014 is Sept. 30.

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Latest member profile from America's Essential Hospitals shows that, despite ACA coverage expansion, uncompensated costs remained high in 2014 at hospitals with many low-income and other vulnerable patients.

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policy

Aggregate data collected by the association will help inform advocacy on disproportionate share hospital payments and other funding support.

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policy

New group for members who want to take an active role in defending against Medicare disproportionate share hospital (DSH) payment cuts.

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institute

Articles cover the ACA's Medicaid expansion, Medicaid shortfalls and community benefit funds, and the impact of recent Supreme Court decisions on Medicaid.

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policy

Proposed renewals must be for demonstrations that are working effectively and have no major or complex policy changes. Certain waivers that use the enhanced FMAP are ineligible.

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policy

The association will use the information gathered to advocate to policymakers the need to continue to support essential hospitals’ mission and service to their communities. This survey focuses on the first quarter of calendar year 2015. We will use aggregate information only.

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policy

This survey remains especially important in light of recent media coverage that has suggested the need for essential hospitals and the funding to support them may no longer be necessary. Responses due July 24.

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policy

In an April 28 letter, the association urged CMS to adopt a holistic view of how payment mechanisms impact essential hospitals, including sustainable base payment rates, Medicaid waivers to address uncompensated care, and DSRIP waivers.

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policy

America's Essential Hospitals is conducting this member survey to capture the impact of the ACA coverage expansion on essential hospitals.

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policy

The survey focuses on uncompensated care and utilization during the last two quarters of CYs 2013 and 2014. It aims to capture the impact of ACA coverage expansion on essential hospitals.

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America's Essential Hospitals' annual report also shows members maintain high-quality, patient satisfaction even with financial hurdles

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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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policy

The association extended the survey deadline to continue to gather information on members' uncompensated care post-ACA.

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policy

The association launched this survey Nov. 10 to capture the impact of the ACA coverage expansion on essential hospitals.

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Essential Insights

Essential hospitals face barriers in providing care to immigrant populations. They must find unique ways to address the complexity surrounding immigration status for their patients.

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policy

The survey aims to capture the impact of ACA coverage expansion and add to association advocacy efforts with timely information on members' uncompensated care.

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White House report a positive sign, but essential hospitals continue to face significant uncompensated care burden and looming cuts to disproportionate share hospitals payments

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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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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

U.S. hospitals provided $45.9 billion in uncompensated care in 2012, survey shows

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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

Oct. 28 letter notes that hospitals have faced more than $95 billion in cuts over the past three years

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policy

Providers that fill a safety net role will be stretched thin in states that do not expand Medicaid

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policy

Government shutdown prevented DC from making payments to Medicaid providers, managed care organizations

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policy

Cited concerns that hospitals may be undercompensated for providing necessary services that do not meet new criteria

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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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Payments even more important as prospects for full expansion dim

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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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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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Analysis show impact of Supreme Court decision on hospitals and vulnerable patients

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