Medicaid
Mounting Pressure for America's Hospitals
In the Sept. 18 Federal Register, CMS published its final rule on the methodology for reducing federal Medicaid DSH allotments to states by an aggregate of $500 million in fiscal year 2014 and $600 million in FY 2015, as required by the Patient Protection and Affordable Care Act.
In the May 15 Federal Register CMS published its proposed rule on a methodology for reducing federal Medicaid Disproportionate Share Hospital allotments to states.
The American Hospital Association is pleased that Marilyn Tavenner has been confirmed as administrator of the Centers for Medicare & Medicaid Services (CMS).
CMS on Monday, May 13, released its proposed rule on a methodology for reducing federal DSH allotments to states by an aggregate $500 million in fiscal year 2014 and $600 million in FY 2015 under the ACA.
There are many parts of the health care delivery and financing systems that urgently need updating, and the matter of "charges" is among those at the top of the list. "Charges" were a central part of the former cost-based reimbursement system that disappeared from the scene decades ago.
The AHA strongly supports the Medicare Audit Improvement Act of 2013. It will provide needed oversight of CMS audit contactors and ensure the accuracy of Medicare and Medicaid payments.
Today's hospital bill is a symptom of a broken payment system. Nationally, hospitals deal with over 1,300 insurers, each having different plans, all with multiple and often unique requirements for hospital bills.
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