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
Lawmakers in the U.S. Senate this weekend unveiled the text  of a bipartisan infrastructure package that has been under negotiation for several months.…
Headline
The Centers for Medicare & Medicaid Services late today issued a final rule that increases Medicare inpatient prospective payment system rates by a net 2.5…
Headline
AHA today joined 27 other organizations that serve the mental, emotional and behavioral health of children in urging Congress to strengthen the pediatric…
Perspective
The COVID-19 Provider Relief Fund has been a lifeline for hospitals, health systems and health care providers, allowing them to continue to put the health and…
Headline
The House today voted 219-208 to approve legislation that would provide $253.8 billion in funding for the departments of Labor, Health and Human Services, and…
Headline
The Provider Relief Fund Deadline Extension Act (S. 2493/H.R. 4735) was introduced yesterday in the Senate and House. The AHA-supported bill would allow…