The Medicare Payment Advisory Commission should not finalize its draft recommendation to reduce payments for off-campus stand-alone emergency departments located within six miles of an on-campus hospital ED, which is not based on any analysis of Medicare beneficiaries, Medicare costs or Medicare payments and would make Medicare’s record underpayment of outpatient departments and hospitals even worse, AHA said in comments submitted Friday. Medicare margins were a record-low negative 14.8% for hospital outpatient departments and negative 9.6% for hospitals overall in 2016, with the latter expected to reach negative 11% this year, the letter notes. In other comments, AHA voiced support for a draft recommendation to allow isolated rural hospitals to convert to stand-alone EDs, and urged the commission to consider expanding the recommendation to include EDs in vulnerable urban communities as well. AHA also urged MedPAC to modify its payment adequacy calculations for long-term care hospitals to incorporate all LTCH cases. MedPAC is expected to review and vote on the ED recommendations at its April 5-6 meeting. 

Related News Articles

Headline
The Medicare Payment Advisory Commission Friday released its March report to Congress.
Perspective
As our country works to expand health coverage and improve access to care, “Medicare for All” is getting a lot of attention. There are many different flavors…
Headline
Reps. Terri Sewell, D-Ala., and John Katko, R-N.Y., today introduced the Resident Physician Shortage Reduction Act of 2019 (H.R. 1763) that would add up to 15,…
Headline
Legislative proposals for a Medicare public option could negatively affect patient access to care and significantly reduce payments to hospitals, AHA Executive…
Headline
Creating a government-run, Medicare-like option on the individual health insurance exchanges could negatively affect patient access to care and reduce hospital…
Headline
The House Energy and Commerce Health Subcommittee today held a hearing on the president’s fiscal year 2020 budget request for the Department of Health and…