Archive for Safety-Net Association of Pennsylvania
At least for now. The controversial Medicaid Fiscal Accountability Regulation, slated for implementation this fall over the objections of many health care stakeholders, will not move forward at this time. In a tweet earlier this week, Centers for Medicare & Medicaid Services Administrator Seema Verma wrote that We’ve listened closely to concerns that have been raised by our state and provider partners about potential unintended consequences of the proposed rule, which require further study. Therefore, CMS is withdrawing the rule from the regulatory agenda. If implemented, opponents maintained, the regulation would have: Deprived states of important, established policy-making prerogatives. Created major new administrative burdens for state governments and hospitals. Inappropriately regulated financing of the state share of Medicaid spending. Introduced … Read More
A Continuing Resolution to fund the federal government in FY 2021 should eliminate a cut in federal Medicaid disproportionate share (Medicaid DSH) allotments to the states, and the Safety-Net Association of Pennsylvania has written to the state’s congressional delegation asking its members to convey this message to congressional leaders. The cut was mandated by the 2010 Affordable Care Act but has never been implemented. In its letter to the delegation, SNAP wrote that The Medicaid DSH cut was predicated on the expectation that the Affordable Care Act would greatly reduce the number of uninsured Americans, and while it has, millions remain uninsured, including nearly 700,000 Pennsylvanians – a number thought to be rising because of the job loss associated with … Read More
Pharmaceutical companies are attempting to prevent safety-net hospitals and others from receiving the full benefits of the section 340B prescription drug discount program and the Safety-Net Association of Pennsylvania has asked of the state’s congressional delegation to sign a congressional letter to Health and Human Services Secretary Alex Azar asking to him intervene and stop the pharmaceutical companies. In asking members of the delegation to sign onto the bipartisan letter, SNAP notes that The 340B program is essential for Pennsylvania’s safety-net hospitals, other qualified Pennsylvania providers, and others like us throughout the country, enabling us to obtain discounts on prescription drugs we dispense on an outpatient basis to qualified, low-income patients. The program greatly enhances the ability of hospitals to … Read More
Pennsylvania’s safety-net hospitals need help with the challenges posed by the COVID-19 public health emergency, SNAP wrote yesterday in a letter to Pennsylvania senators Pat Toomey and Bob Casey. In its letter, SNAP asked the senators to advocate: An additional $100 billion for hospitals. Forgiveness for money provided to hospitals through the federal CARES Act’s Accelerated and Advance Payment Program. An increase in the federal Medicaid matching rate (FMAP). An increase in states’ Medicaid disproportionate share (Medicaid DSH) allotments and a delay in the scheduled implementation of Medicaid DSH allotment cuts to the states. Action to prevent implementation of the Medicaid fiscal accountability regulation. A moratorium on changes in hospital eligibility for the 340B prescription drug discount program, Medicare indirect … Read More
On Thursday SNAP wrote to Pennsylvania Department of Human Services Secretary Teresa Miller to point out challenges that arise in the potential use and interpretation of the data hospitals have reported to DHS in that agency’s survey of hospitals’ financial condition as a result of the COVID-19 pandemic. In the letter, SNAP cautioned against possibly inappropriate interpretations of some of this data and offered to work with DHS officials to address these concerns. See SNAP’s letter here.
Coronavirus update for Thursday, June 11 as of 4:00 p.m. SNAP Advocacy SNAP wrote to Department of Human Services Secretary Teresa Miller to point out challenges that arise in the potential use and interpretation of data hospitals have reported in DHS’s survey of hospitals’ financial condition as a result of the COVID-19 pandemic. SNAP cautioned against possibly erroneous interpretations of some of this data and offered to work with DHS officials to address these concerns. See SNAP’s letter here. Department of Human Services DHS has published a report on its most recent stakeholder meeting. Two passages in that report are of particular interest and relevance: CARES Funding Update Work continues to prepare for distribution of funds for providers from the … Read More
Coronavirus update for Thursday, June 4 as of 2:30 p.m. Pennsylvania Update SNAP Advocacy Today SNAP wrote to Pennsylvania senators Robert Casey and Pat Toomey to ask them to pursue legislation with five major COVID-19-related policy initiatives that Pennsylvania safety-net hospitals need: A 14-point increase in the federal medical assistance percentage (FMAP). An additional $100 billion for hospitals. Another delay in implementation of Affordable Care Act-mandated cuts in Medicaid disproportionate share (Medicaid DSH) allotments. Prevention of implementation of the Medicare fiscal accountability regulation (MFAR). Reduced interest rates and a longer payback period for Medicare payments advanced to hospitals through the CARES Act’s Accelerated and Advance Payment Program. See SNAP’s letter here. Governor Wolf Governor Wolf announced that the Office of … Read More
COVID-19 update for April 21 as of 5:00 p.m. Pennsylvania Update SNAP Advocacy Today SNAP wrote to members of Pennsylvania’s congressional delegation to ask them to support new COVID-19 and economic relief legislation that was expected to include $75 billion for hospitals. See SNAP’s letter here. The Senate has voted to approve the legislation and the house is expected to take it up on Thursday. More detail about the bill’s contents is included in the federal update. General Assembly Today the House and Senate met to consider bills related to COVID-19 and to position legislation for FY 2020-21 budget negotiations. Most notable of the votes today was final passage of S.B. 857, which would authorize health care providers to use … Read More
Private safety-net hospitals should be among high-volume Medicaid providers that receive priority consideration in the distribution of additional grants from the CARES Act, SNAP has written in a letter to Centers for Medicare & Medicaid Services Administrator Seema Verma. With CMS already conceding that high-volume Medicaid providers may be shortchanged in the initial distribution of funds from the $100 billion designated for hospitals and health care providers in the CARES Act, SNAP asked Ms. Verma to “…acknowledge the special needs of these hospitals and the roles they play in their communities by ensuring that they will receive much-needed assistance in the second round of grants as well.” See SNAP’s letter here.
Pennsylvania safety-net hospitals need help fighting COVID-19, the Safety-Net Association of Pennsylvania declared in a letter to members of the state’s congressional delegation. In addition to the resources sought by hospitals everywhere – equipment, supplies, funding for expanded capacity to accommodate patients suffering from COVID-19 – SNAP emphasized three specific types of assistance in its letter to the delegation: Help with cash flow. As requested by the federal government and others, SNAP hospitals have limited or suspended elective surgery so they can focus their resources on COVID-19 patients. This will create a cash-flow problem for them: while they will be doing everything they can to care for their patients and will be expending considerable resources doing so, their revenue will … Read More