NASH Comments on Proposed Medicaid DSH Revamp
In mid-December, Senator Marco Rubio (R-FL) introduced the State Accountability, Flexibility, and Equity (SAFE) for Hospitals Act, which seeks to restructure the federal Medicaid disproportionate share hospital payment program (Medicaid DSH). Hospitals that care for especially large numbers of Medicaid, [...]
Chatter About Medicaid Block Grants Grows
A week after a published report suggested that the Trump administration might be working on a plan to introduce Medicaid block grants, the Washington Post reports that those efforts are under way in earnest. According to the Post, A small [...]
MedPAC: Overhaul Medicare Quality Programs
Medicare would implement major changes in its hospital quality programs under a proposal approved by the Medicare Payment Advisory Commission. Fierce Healthcare reports that the proposal adopted by MedPAC for recommendation to Congress and the Centers for Medicare & Medicaid [...]
MedPAC Meets
Last week the Medicare Payment Advisory Commission met in Washington, D.C. to discuss a number of Medicare payment issues. The issues on MedPAC’s December agenda were: The Medicare prescription drug program (Part D) Opioids and alternatives in hospital settings: payments, [...]
Proposed Public Charge Regulation Causes Confusion in Clinics, Elsewhere
A Trump administration proposal to redefine what constitutes a “public charge” is making life challenging for low-income immigrants and the clinics and other providers to which they turn for Medicaid-covered health care. The proposed regulation from the Department of Homeland [...]
“Oh Say Can We See?”: Ways & Means Leaders Seek CMMI Transparency
The chairman and ranking member of the House Ways and Means Committee have written to CMS administrator Seema Verma to ask her to address the lack of transparency in the Center for Medicare and Medicaid Innovation. In the bipartisan letter, [...]
Could Medicaid Buy-In Push Aside Medicare for All?
Officials in ten states are giving consideration, in one form or another, to permitting uninsured low-income residents to buy into their Medicaid programs. So while Washington considers the possibility of Medicare for all, the ten states – Nevada, New Mexico, [...]
NASH Comments Proposed Medicaid Managed Care Reg
The National Alliance of Safety-Net Hospitals has submitted formal comments to the Centers for Medicare & Medicaid Services in response to CMS’s proposed changes in federal Medicaid managed care regulations. NASH’s letter addressed three aspects of the proposed regulation: [...]
End Run Around Congress for Medicaid Block Grants?
The Trump administration reportedly is considering introducing Medicaid block grants through regulations rather than legislation, according to published reports. Those reports explain that the administration may seek to offer states an opportunity to apply to the federal government to use [...]
NASH Unveils 2019 Agenda
The National Alliance of Safety-Net Hospitals has unveiled its public policy advocacy agenda for 2019. That agenda explains that NASH will: Address Medicare issues such as continuing threats to private safety-net hospitals’ Medicare DSH payments, audits of the Medicare cost [...]

