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Repealing SGR

By Rich Umbdenstock
March 27, 2015

We are pleased that the House this week voted to permanently replace the flawed Sustainable Growth Rate formula, and we hope the Senate will follow suit. The package strikes a careful balance in the way it funds the SGR repeal and embraces a number of structural reforms to the Medicare program. It fixes the physician payment problem and includes policy changes that move their payments from the first curve to the second curve. It includes important extenders and key provisions for... read more

Topic: Access and Coverage
Tags: quality, readmissions, socioeconomic status, Medicare, Coverage, Medicaid, access

Cost-shifting in Hospitals

By Rich Umbdenstock
March 26, 2015

Earlier this week the New York Times ran a column about hospitals cost shifting to private insurers. Here is the reality for hospitals.

Cost shifts have been a fact of hospital financial survival for decades. Currently Medicare pays 88 cents for every dollar of care provided while Medicaid pays 90 cents for each dollar of care, creating a $51 billion shortfall to hospitals. Private insurers currently pay $1.43 for every dollar of care provided to close that gap.  In 1999, for... read more

Topic: Access and Coverage
Tags: Medicare, Medicaid, access, uncompensated care

America's Hospitals: Always There, 24/7

By Caroline Steinberg
March 12, 2015

The role of hospitals is unique: always there, for all patients, ready to care, from the routine to the catastrophic. But the new report “Always There, Ready to Care,” shows how rising demand, constrained capacity and the erosion of financing to meet community needs are putting this role at risk.

At the same time hospitals are undergoing a major shift, building collaborative teams that are improving the coordination of health care. They're partnering with other health care... read more

Topic: Access and Coverage
Tags: site neutral payment, population health, Emergency Preparedness, Medicare, Coverage, Redefining the H, advocacy, Medicaid, disaster readiness, preparedness

It's Groundhog Day for Hospitals

By Rick Pollack
February 2, 2015

It seems fitting that the president released his budget on Groundhog Day. There appears to be no end in sight for cuts to hospital care and we have been down this road before. The Administration proposes cuts that diminish our nation’s health care infrastructure.

Hospitals continue to deliver high quality care in a constantly changing environment. While hospitals are providing care to their communities, some are operating on shaky ground. One in three hospitals operates in the... read more

Topics: Access and Coverage, Advocacy and Public Policy
Tags: graduate medical education, GME, Medicare, Coverage, CAHs, Critical Access Hospitals, advocacy, Medicaid
 

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