Category Archives: medicare
March 22, 2018 | FAH Policy Blog Team
In a good report full of facts and figures, it is tempting to pick out one or two and claim they prove your point. Unfortunately, this morning’s (March 22nd) Axios Vitals selectively used data from MedPAC’s March Report to Congress to suggest that hospitals lose money on Medicare because they are inefficient. The blurb entitled “Let’s talk about hospitals’ Medicare margins” misses what is arguably MedPAC’s most compelling data point: 331 “relatively efficient” hospitals experienced a negative Medicare margin in 2016. It’s on page 86 – just two pages past the points highlighted by Axios.
March 12, 2018 | FAH Policy Blog Team
FAH recently submitted a comment letter to CMS on the 2019 Medicare Advantage (MA) and Part D Advance Notice and Draft Call Letter. FAH urged CMS to use caution when allowing MA organizations (MAOs) greater flexibility regarding cost-sharing and benefit design (e.g., tiered cost-sharing, increased cost-sharing to manage utilization, and new interpretation of the uniformity requirements), as these changes could limit transparency and increase beneficiary costs and confusion.
February 27, 2018 | FAH Policy Blog Team
Today, the FAH submitted comments to the Office of Inspector General (OIG) of the Department of Health and Human Services in response to the OIG’s annual solicitation of new safe harbors under the Medicare anti-kickback statute. The FAH urged the OIG to create a new safe harbor for incentive payments between hospitals and other providers when operating within the confines of a qualified alternative payment model (APM), as designated by CMS.
February 20, 2018 | FAH Policy Blog Team
Category: Health Care Delivery, Medicare
FAH sent a letter today to CMS Administrator Seema Verma outlining ways that the Medicare Shared Savings Program’s Extreme and Uncontrollable Circumstances Policies interim final rule could be improved. The letter expressed appreciation for CMS’ recognition of the need for such a policy and relief it provides to Accountable Care Organizations (ACOs) affected by this year’s disasters, including the devastating hurricanes.