Category Archives: medicaid
May 30, 2018 | FAH Policy Blog Team
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.
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:
May 16, 2018 | FAH Policy Blog Team
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.”
May 08, 2018 | Chip Kahn
Providing health care for rural Americans comes with unique challenges. It frequently will require unique solutions. FAH and our members have long advocated for assuring the more than 60 million people who live in rural areas have access to timely, quality care. Advancing the use of telehealth, tailoring Medicare and Medicaid programs to better serve small communities and the other objectives laid out by CMS today will ultimately help patients and those hospitals that serve them.