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The Time May Have Arrived for a Permanent “Doc Fix”
/0 Comments/in Medicare /by NASNH AdministratorCongress appears serious about addressing a long-running problem: the need for an annual “Medicare doc fix” to address the problem stemming from the use of the sustainable growth rate formula, or SGR, to determine Medicare payments for physician services. For years, application of the SGR called for reductions in Medicare payments to doctors, forcing Congress […]
Safety-Net Hospitals Hurt More by Readmissions Reduction Program
/0 Comments/in Affordable Care Act, Medicare, private safety-net hospitals /by NASNH AdministratorHospitals that care for large numbers of low-income seniors are disproportionately harmed by Medicare’s hospital readmissions reduction program, according to a new study. According to the study, Both patient dual-eligible status and a hospital’s dual-eligible share of Medicare discharges have a positive impact on risk-adjusted hospital readmission rates. Under current Centers for Medicare and Medicaid […]
Medical Homes Model Showing Potential
/0 Comments/in accountable care organization, private safety-net hospitals /by NASNH AdministratorThe “medical homes” model for providing health care is showing promise as a way of reducing the cost of care, reducing utilization of unnecessary medical services, improving access to care, and improving population health. These are among the findings in a meta-study by the Patient-Centered Primary Care Collaborative. The study brings together findings from 21 […]
Providers Receive Expanded Authority to Extend Presumptive Medicaid Eligibility
/0 Comments/in Affordable Care Act, Medicaid, private safety-net hospitals /by NASNH AdministratorWhile hospitals and providers in 33 states have long enjoyed the ability to extend presumptive eligibility for Medicaid to children or pregnant women, that authority is now being extended in some states to any adults whose income appears likely to fall below 138 percent of the federal poverty level. The extension of this authority comes […]