Archive for February 2016

Governor Proposes FY 2017 Medicaid Budget

On Tuesday, February 9, Pennsylvania Governor Tom Wolf presented his proposed FY 2017 budget to the state legislature. That budget proposal calls for changes in some current Medicaid spending, including reductions of some supplemental payments and the elimination of others, as well as changes in funding the state’s share of Medicaid and the rate at which the federal government will match Pennsylvania’s own spending on Medicaid in the coming year. In addition, the budget calls for new and increased spending in selected areas within the purview of the state’s Department of Human Services and Health Department. SNAP has prepared a detailed memo outlining the potential implications of the proposed FY 2017 budget for safety-net hospitals. The memo also addresses the complications … Read More

Posted in Pennsylvania proposed FY 2017 budget, Pennsylvania state budget issues, Proposed FY 2017 Pennsylvania state budget, Safety-Net Association of Pennsylvania

MACPAC: Medicaid DSH Payments Not Always Reaching Targeted Providers

In many cases, Medicaid disproportionate share payments (Medicaid DSH) are being made to hospitals that do not necessarily serve especially large proportions of Medicaid and other low-income patients. So concludes a new report from The Medicaid and CHIP Payment and Access Commission (MACPAC), is a non-partisan legislative branch agency that performs policy and data analysis and makes recommendations to Congress, the Secretary of the U.S. Department of Health and Human Services, and the states on issues affecting Medicaid and the State Children’s Health Insurance Program (CHIP). According to a new MACPAC report, Medicaid DSH payments provide substantial support to safety-net hospitals by helping to offset uncompensated care costs for Medicaid and uninsured patients. In 2014, Medicaid made a total of … Read More

Posted in Pennsylvania safety-net hospitals, Uncategorized

New Medicaid Regulation Clarifies Access to Home Health Services

Under a new regulation unveiled by the Centers for Medicare & Medicaid Services, physicians and other authorized providers now must document their face-to-face encounters with patients when they are authorizing home health services but those encounters can be conducted through telehealth. This approach, already part of the Medicare program, applies only to Medicaid fee-for-service patients and not to those served by managed care plans. In addition, the rule regulates how recently providers must have their encounters with patients when prescribing home health services and provides those services in settings other than the home. For a closer look at the new regulation, see this Fierce Healthcare article and this CMS fact sheet.  

Posted in Uncategorized

Feds Issue Guidance on Reducing Medicare Readmissions

The Centers for Medicare & Medicaid Services has issued a new report advising hospitals how to reduce readmissions among their racially and ethnically diverse Medicare patients. According to a CMS news release, the guidance …is designed to assist hospital leaders and stakeholders focused on quality, safety, and care redesign in identifying root causes and solutions for preventing avoidable readmissions among racially and ethnically diverse Medicare beneficiaries. The guidance also notes that Racial and ethnic minority populations are more likely than their white counterparts to be readmitted within 30 days of discharge for certain chronic conditions, such as heart failure, heart attack, and pneumonia, among others. Social, cultural, and linguistic barriers contribute to these higher readmission rates. The document presents an … Read More

Posted in Medicare
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2012 Safety-Net Association of Pennsylvania