MACPAC Unanimously Recommends Changes in Medicaid Definitions The advisory panel's June report to Congress will recommend that Congress clarify the statutory language that governs how to calculate the maximum amount of Medicaid DSH payments that can be disbursed to individual hospitals. The recommendation calls for excluding...

MedPAC Wants to Create National ED Coding Guidelines, Boost Payments for Rural Dialysis, Boost MA Data Accuracy  The Medicare Payment Advisory Commission has voted to approve a set of recommendations aimed at boosting the accuracy of Medicare Advantage encounter data. The recommendations included a broader set of...

Administration Seeks to Repeal ACA, Republican Leaders Back Away, Democrats Move Legislation To Strengthen It The Trump Administration has announced it would support a court ruling in the case of Texas v. Azar that declared the Affordable Care Act unconstitutional and should be scrapped. Meanwhile, House...

Battle Lines Forming Over Surprise Billing Battle lines are being drawn over a growing number of spruprise billing proposals now under discussion in Congress. Insurance and business groups sent a proposal to leaders in the House and Senate last week that would peg reimbursements to contracted market...

Vice President, Regulatory Policy David Introcaso, Ph.D., began his career in Washington at DC General Hospital in the mid-1990s.  Since then he has worked at NIH/NINR, at the Agency for Healthcare Research and Quality (AHRQ) as agency's Evaluation Officer, as a Public Health Analyst in the...

Providers Targeted with Hundreds of Billions of Cuts in Trump 2020 Budget President Trump has released his budget for fiscal year 2020 , which was declared "dead on arrival" by Congress and is seen as providing guidance for the appropriations process to come.  However, the budget...

293 Hospitals Receive 5 Star Rating from CMS CMS has released its hospital rankings of more than 4,000 hospitals, of which 293 scored 5 out of 5 stars. The whole list documents: One star: 282 hospitals; Two stars: 800 hospitals; Three stars: 1,264 hospitals; Four stars:...

Senate Chairman Opens Investigation into Not-for-Profit Hospitals Senate Finance Committee Chairman, Sen. Chuck Grassley (R-IA), has re-opened an investigation into tax-exempt hospitals due to his concern that the hospitals aren't using billions of dollars in tax savings to prioritize community needs. Saying in a letter to the IRS...

Hospitals, Doctors, Insurers Mobilize To Kill Medicare for All Their message is simple: the Affordable Care Act is working reasonably well and should be improved, not repealed by Republicans or replaced by Democrats with a big new public program. More than 155 million Americans have employer-sponsored...

50 Best Hospitals Named by Healthgrades Healthgrades last week published their list of the 50 best hospitals in the country based solely on clinical quality outcomes for 32 conditions and procedures. Also released were the top 100 and 250 hospitals in America, eight states did not have...