fah hospital policy blog

Perspectives on health policy affecting America’s hospitals and the patients we serve.

Category Archives: medicaid

New Report Shows Cumulative Hospital Cuts Top $218 Billion

June 14, 2018 | FAH Policy Blog Team

Category: Affordable Care Act, Financing, Medicaid, Medicare

The cumulative reductions in federal payments to hospitals since 2010 will reach $218.2 billion by 2028, according to a report released today by the health economics consulting firm Dobson | DaVanzo and Associates.

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FAH Submits to CMMI's Direct Provider Contracting Model Request for Information

May 30, 2018 | FAH Policy Blog Team

Category: FAH News, Medicaid, Medicare

Late last week, the FAH submitted comments to the Center for Medicare and Medicaid Innovation (CMMI) on a Request for Information (RFI) it issued on a Direct Provider Contracting (DPC) model it is considering. The DPC RFI outlines a new type of model where CMS suggests it could contract directly with participating physician practices to establish those practices as the main source of care for primary care or other services for beneficiaries that voluntarily enroll. CMS considers the use of a fixed per beneficiary per month payment to cover the cost of these services with the expectation that the contracted physician practice would provide those services in a manner agreeable to both CMS and the physician practice.

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FAH Outlines Issues with Proposed Medicaid Access Rule

May 23, 2018 | FAH Policy Blog Team

Category: Health Care Delivery, Medicaid

In a letter sent today to CMS Administrator Seem Verma, the FAH outlines several concerns with policies contained in the Medicaid Access Proposed Rule. Under current Medicaid law, states are required to assure that Medicaid payments are “consistent with efficiency, economy, and quality of care are sufficient to enlist enough providers so that care and services are available…..” In November 2015, CMS finalized regulations requiring states to use a process to document compliance with the legal standard for demonstrating sufficient payment. The Proposed Rule issued by CMS and which the FAH commented on today, would inappropriately loosen those requirements. Areas highlighted in the letter include:

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Coalition Asks Key Committee to Support Limited Repeal of IMD Exclusion

May 16, 2018 | FAH Policy Blog Team

Category: General, Medicaid

FAH joined a coalition of other care providers in asking leaders of the House Energy and Commerce Committee to include in their legislative effort to combat the opioid epidemic a bill entitled “The Limited Repeal of the IMD Exclusion for Adult Medicaid Beneficiaries with Substance Use Disorder Act.”

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