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In a new podcast series by a physician at association member NYC Health + Hospitals, Beth Feldpush, DrPH, the association's senior vice president of policy and advocacy, unpacks the complex patchwork of payments that keep essential hospitals afloat. 

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The report proposes three recommendations responding to Medicaid disproportionate share hospital allotment reductions and responds to concerns about the accuracy and completeness of available upper payment limit data.

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The brief reviews each type of Medicaid hospital payment, information on payment goals, and state-level data on fiscal year 2016 supplemental payments to hospitals.

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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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MACPAC recommended that HHS collect and make publicly available provider-level Medicaid UPL payment data. MACPAC said this would help standardize the reporting process, enhancing transparency and enabling data analysis.

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MACPAC commissioners voted to increase standardization and transparency around UPL payments.

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Clarifies the Outpatient Clinic and Hospital Facility Services definition, Upper Payment Limit.

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Letter to state Medicaid directors details federal-state efforts to strengthen program integrity

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