Bulletin Board
Bulletin Board
Incentive Program Reduces Post-Acute-Care Costs
Participants in the Medicare Shared Savings Program are reducing Medicare expenditures for post-acute-care. So reports a new study published in the journal JAMA Internal Medicine. According to the study, the discharge of fewer patients into skilled nursing facilities and shorter stays for those who do spend time in such facilities reduced Medicare post-acute care spending for patients participating in the shared savings program by nine percent in 2014. Learn more about the study in this article in this McKnight’s Long-Term Care News article or go here to see the JAMA [...]
GAO Looks at Telehealth
With growing interest in using telehealth, or telemedicine, to serve patients in geographically remote or underserved areas, the U.S. Government Accountability Office, operating under a mandate from the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), has examined potential barriers to the use of this relatively new form of care. Among the barriers it found were cultural issues, inadequate licensure, lack of coverage (and reimbursement) for such services, and access and provider training issues. GAO offered no recommendations for addressing these challenges. Learn more about GAO’s findings by going [...]
Health Reform Helps Hospitals in Medicaid Expansion States
The Affordable Care Act’s enhancement of access to health insurance, whether through Medicaid expansion or the subsidization of insurance premiums for working-class and some middle-class Americans, has improved the financial health of hospitals. Especially hospitals in Medicaid expansion states. According to a new report from the Urban Institute, Using data through fiscal year 2015, this new analysis finds that the Medicaid expansion under the ACA increased Medicaid revenue by $5.0 million per hospital, reduced costs of uncompensated care by $3.2 million per hospital, and improved average operating margins by 2.5 [...]
Medicaid Work Requirements
Both Congress and a number of states have discussed introducing work requirements into their Medicaid programs. Such a proposal was part of the American Health Care Act, a number of governors and state legislators have discussed work requirements as a condition of Medicaid eligibility, and some states are reportedly considering including such requirements in section 1115 Medicaid waiver applications. In a new report, the Congressional Research Service examines the U.S. Department of Health and Human Services’ authority to grant such waivers and how courts might look at such requirements if [...]
Medicaid Per Capita Caps Explained
In a new report, the Commonwealth Fund looks at Medicaid per capita caps, an idea that has been discussed for years, that was part of the as-yet unsuccessful American Health Care Act, and a proposal that is almost certain to resurface in the near future. Among other things, the article explains what per capita caps are and how they would work describes how per capita caps differ from current Medicaid policy considers how the implementation of per capita caps might affect low-income people, providers, and insurers Learn more in the [...]