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FAH appreciates that the Medicare Accelerated and Advance Payment Programs (MAAPP) repayment terms were adjusted by Congress in the continuing resolution (CR), which passed on September 30th.

The MAAPP was a vital lifeline to hospitals and health care providers early in the pandemic that enabled them to maintain access to critical patient care. However, the ongoing pressures of the current crisis required a revision of the repayment terms.

By extending the window that providers have to pay back the loans and postponing the reduction of Medicare fee-for-service payments, the CR will allow health care workers on the frontlines to focus on defeating COVID-19.

FAH thanks Congress and the Trump Administration for making these important and appropriate modifications to the MAAPP.

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Fixing Medicare Accelerated & Advance Payment Programs Critical to Patient Care Across America

“Hospitals are now on borrowed time. Every day of inaction creates more uncertainty for our patients and our caregivers – jeopardizing patient access to care.” – Chip Kahn, FAH President and CEO

The Medicare Accelerated and Advance Payment Programs’ loans saved hospitals during the COVID-19 shutdown, but now the shortsighted, rigid repayment terms are colliding with the on-going impact of the pandemic.

Frontline facilities and care providers coast to coast have passed the point of no return. Many must pay off the loans right now or have their Medicare fee-for-service payments zeroed out until it is. This will have devastating effects on patient care.

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FAH/FTI Consulting Issue Brief

Hospitals on the Front Line as COVID-19 Surges, Medicare Payments Withheld

The Federation of American Hospitals, in conjunction with FTI Consulting, today released an updated issue brief on the Medicare Accelerated and Advance Payment Programs (MAAPP) and its impact on the perilous financial situations of hospitals, particularly in rural communities, as they continue fighting on the front lines of the COVID-19 pandemic. Hospitals are now required to begin repaying the borrowed funds, even as cases and hospitalizations are peaking in many parts of the country. It is critical to reexamine the repayment terms of this program – immediately – to ensure that hospitals remain financially viable and can provide the high-quality care that their communities deserve. This brief is a part of a larger effort by the Federation of American Hospitals to educate policymakers on the impact of the COVID-19 pandemic on access to hospital care in the United States.


Listen: Expert Discussion on COVID-19 Impact on Patient Care

New Reality: Keeping Hospitals in Communities after COVID-19 with Professor J.B. Silvers

Health finance expert J.B. Silvers joined FAH President and CEO, Chip Kahn, to discuss his nationally published op-ed in which he compared the situation hospitals and health systems are facing due to COVID-19 to that of banks during the 2008 financial crisis. J.B., who is a professor of banking and finance at the Weatherhead School of Management at Case Western Reserve University, says the health care system may look much different after the pandemic, and he offers a look at what the new normal might be.

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