Medicaid
Underpayment by Medicare and Medicaid to U.S. hospitals was $51 billion in 2014. Medicare reimbursed 89 cents and Medicaid reimbursed 90 cents for every dollar hospitals spent caring for these patients. This fact sheet provides the definition of underpayment and technical information on how this…
In 2014, community hospitals have provided more than $42.8 billion in uncompensated care to their patients. This fact sheet provides the definition of uncompensated care and technical information on how this figure is calculated on a cost basis.
The AHA yesterday asked the Centers for Medicare & Medicaid Services to withdraw a proposed rule that would further limit states’ ability to increase or create new pass-through payments for hospitals, physicians or nursing homes under Medicaid managed care contracts.
The Medicaid and CHIP Payment and Access Commission today recommended five additional years of federal funding for the State Children’s Health Insurance Program, calling for action “as soon as possible” to preserve health insurance coverage for more than 8 million children and mitigate budget…
The Centers for Medicare & Medicaid Services will partner with up to six states to test a new accountable care organization model for beneficiaries eligible for both Medicare and Medicaid. CMS is accepting letters of intent from states that wish to work with the agency to design certain state-…
The 114th Congress finished its work last week, and lawmakers have returned to their districts for the holidays.
More than 15.7 million people enrolled in Medicaid or the Children’s Health Insurance Program between Oct. 1, 2013 and Sept. 30, 2016, increasing total enrollment in the programs by 28% since the start of the first open enrollment period for the Health Insurance Marketplace, according to a report…
Graham-Cassidy-Heller-Johnson Proposal:
The Centers for Medicare & Medicaid Services yesterday released two rules, one final and one proposed, to address eligibility and appeals processes for the Medicaid and CHIP programs. The final rule completes the agency’s work related to appeals, notices and Medicaid eligibility changes…