Category Archives: medicaid
June 25, 2018 | FAH Policy Blog Team
Today, the Federation of American Hospitals (FAH) submitted comments to the Centers for Medicare & Medicaid Services’ (CMS) FY 2019 Inpatient Prospective Payment System (IPPS) proposed rule. The FAH’s comments were highlighted by responses to CMS’s proposals on Medicare Disproportionate Share Hospital (DSH) payments, payments for new and costly CAR T-Cell therapy, CMS’s quality and payment reporting programs, interoperability, long-term care hospital policies, and price transparency.
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.
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: