Kansas Hospital Association Legislative Issues August 23, 2006.

Slides:



Advertisements
Similar presentations
New America Forum April 12, 2010 New America Forum: A First Look at Implementing Health Reform The Delivery System Challenge State Implementation Issues.
Advertisements

IDAHO MEDICAID COST REPORTS Presented by: Luke Zarecor, CPA, Owner Dingus, Zarecor & Associates PLLC East Main Street, Suite A Spokane Valley, Washington.
Medicare-Medigap-Medicaid Gabriella Hayes  Chantel Ochoa ^_^ Kelle Marshall :D Annysia Hoffman (:
Health Reform and Rural Hospitals John Supplitt, Sr. Director American Hospital Association Indiana Rural Health Policy Forum.
1 CAH State Network Council Meeting Legislative/Policy Briefing August 29, 2011.
Understanding Charity Care/Bad Debt for Hospitals in South Dakota Dave Hewett, President/CEO South Dakota Association of Healthcare Organizations Medicaid.
The Health Care Industry Part 2 - Medical Insurance Karen F. Nichols, MSA School of Allied Health Professions University of Nebraska Medical Center.
Medicare spending is 14% of the federal budget Total Federal Spending in 2013: $3.5 Trillion MEDICARE Medicaid Net interest Social Security Defense Nondefense.
1.03 Healthcare Finances Understand healthcare agencies, finances, and trends Healthcare Finances Government Finances Private Finances 2.
Healthcare Finances HS II Unit 1.03.
Lecture 14 Policy, Legal, and Regulatory Issues in HIS (Chapters 18,19,20)
Health Care Reform Where we’ve been Where we are Where we’re going Health Care Reform Where we’ve been Where we are Where we’re going.
Comprehensive Health Insurance Billing, Coding, and Reimbursement Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights.
North Dakota Medicaid Expansion Julie Schwab, MNA, MMGT Director of Medical Services North Dakota Department of Human Services.
PNHP Plan Principles Access to comprehensive health care is a human right The right to chose and change one’s physician is fundamental Pursuit of corporate.
Rural Wisconsin Health Cooperative Critical Access Hospitals Better Medicare Financing For Smaller Hospitals Serving Rural Communities.
1 Primary Health Care Update November 18, 2008 Jim Macrae Associate Administrator U.S. Department of Health and Human Services Health Resources and Services.
THE COMMONWEALTH FUND Developing Innovative Payment Approaches: Finding the Path to High Performance Stuart Guterman Assistant Vice President and Director,
ADEA Interim Session: CPPA Update Diana Lyu, Center for Public Policy and Advocacy ADEA Council of Students, Residents, and Fellows Center for Public Policy.
The Rural Policy Landscape August 22, 2006 Alan Morgan Chief Executive Officer.
“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment.
State Network Council Meting Salina, KS August 29, 2011 View from Washington.
A Brief History Rural Health Clinic Services Act of 1977 (P.L ) Enacted to address the inadequate supply of physicians serving Medicare beneficiaries.
Reimbursement Nutr 564: Summer Objectives n Identify the components of reimbursement n Describe the barriers n Identify resources for MNT reimbursement.
PRESENTATION PREPARED BY SUSAN DOWNS KARKOS & MICHELE BAKER NOVEMBER Introduction to Health Care.
Kansas Hospital Association Legislative Update August 7, 2007.
Copyright © 2008 Delmar Learning. All rights reserved. Chapter 15 Medicaid.
Critical Access Hospital Coalition Workshop Financial Impact Study August 22, 2003 Richard Donkle, CPA Rural Wisconsin Health Cooperative.
Lisa Kilawee 2016 NRHA President National Rural Health Association Rural Health Care and NRHA.
1.03 Healthcare Finances. Health Insurance Plans Premium-The periodic amount paid to an insurance company for healthcare or prescription drugs Deductible-Amount.
1 Patient Safety In China Gao Xinqiang 23 June 2014.
Kansas Hospital Association Legislative Update July 29, 2008.
Beth Faiman MSN, APRN-BC, AOCN Cleveland Clinic Taussic Cancer Institute Pre-Doctoral Research Fellow Case Western Reserve University Cleveland, Ohio America’s.
“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment.
1.03 Healthcare Finances Understand healthcare agencies, finances, and trends Healthcare Finances Government Finances Private Finances 2.
A Performance Monitoring Resource for Critical Access Hospitals, States, and Communities CAH Financial Indicators Report for Our Hospital CAH Financial.
Rural Health Advocacy Missouri Rural Health Conference November 18, 2015 Tim Wolters, Director of Reimbursement Citizens Memorial Hospital, Bolivar Lake.
HEALTH INSURANCE PLANS. BACKGROUND INFO Cost is a major concern Health care is over 15% of gross national product Without insurance, the cost of an illness.
Medicare Part A and B:Basic Guide
Reimbursement Nutr 564: Summer Objectives n Identify the components of reimbursement n Describe the barriers n Identify resources for MNT reimbursement.
CRITICAL ACCESS HOSPITALS. Balanced Budget Act of 1997 The BBA had a severe financial impact on hospitals around the country. To help alleviate the impact.
Sachin H. Jain, MD, MBA Office of the National Coordinator for Health IT United States Department of Health and Human Services The Nation’s Health IT Agenda:
The Future of Rural Health Care is inextricably tied to the Future of Rural Communities.
1.03 Healthcare Finances.
Hospital Pricing Mike Del Trecco, Senior Vice President of Finance, Finance and Operations Senate Finance Committee February 9, 2017.
HEALTH INSURANCE PLANS
Understanding the Centers for Medicare & Medicaid Services (CMS) Rule
An Introduction to Health Care and Health Policy in the United States
1.03 Healthcare Finances.
Proposed Medicaid Hospital Outpatient Prospective Payment System
Health Care Systems and Reimbursement
Program Integrity Reforms Personal Care and Home-Based Services
The Path to Provider Status
HEALTH INSURANCE PLANS
1.03 Healthcare Finances.
Understanding the Centers for Medicare & Medicaid Services (CMS) Rule
1115 Demonstration Waiver Extension Summary
1.03 Healthcare Finances.
Federal Update Membership Meeting October 17, 2018
MMA Implementation: Issues Facing States
1.03 Healthcare Finances.
Student loan support to strengthen the health care workforce:
Projected Savings and Effectiveness of System Reform Provisions in House and Senate Reform Bills 2010–2019 (in billions) CBO Estimate of Budget Savings,
1.03 Healthcare Finances.
LEVERAGING PURCHASED/REFERRED CARE (PRC) RATES
Health Care Systems and Reimbursement
Component 1: Introduction to Health Care and Public Health in the U.S.
1.03 Healthcare Finances.
CAHMPAS Financial Indicators for Our Hospital
Chapter 8 Healthcare Delivery Systems
Presentation transcript:

Kansas Hospital Association Legislative Issues August 23, 2006

Kansas Hospital Association Federal Issues

Kansas Hospital Association CAH Relocation FY06 inpatient hospital regulation set new rules for when a necessary provider CAH could relocate. Established the “75% rule” – CAH must serve 75% of same population, provide 75% of same services, employ 75% of same staff. CMS Interpretive Guidelines issued last fall were far more prescriptive… –75% rule more prescriptive (e.g., mentions policies and procedures, billing codes). Requirements for 75% test are more rigorous for necessary provider CAHs –CMS has up to one year AFTER relocation to do final determination.

Kansas Hospital Association Problems and Steps Problems –Too prescriptive and inflexible –More expensive to build on same site –Uncertainty – trouble securing financing since final determination not made until after relocation Steps –Commented in FY07 inpatient rule –Congressional House Letter (Rep. Moran, Rep. Ryun) –Congressional Senate Letter (Sen. Roberts, Sen. Brownback)

Kansas Hospital Association Medicare Advantage Rural Health Services Preservation Act H.R. 880: 101% of cost for inpatient and outpatient services at CAH and rural health clinics S. 2819: Choice of interim rate (101% of cost) and cost reconciliation OR 103% of interim rate for inpatient and outpatient services at CAHs and rural health clinics

Kansas Hospital Association Extending MMA Rural Hospital and Provider Equity (R-HoPE) Act of 2006 (S. 3500) –Would create or increase Medicare payments to rural hospitals and make changes to guidelines for CAHs (such as outpt lab, ambulance). Medicare Rural Health Provider Payment Extension Act (H.R. 5118) –Similar to R-HoPE and would address outpatient laboratory and 5% rural add-on for home health services.

Kansas Hospital Association Other Legislation CAH Outpatient Lab Reimbursement –Critical Access to Clinical Lab Services Act (S. 236/H.R. 1016) Cost Based Reimbursement for Ambulance Services –Rural Access to Emergency Services Act of 2005 (S. 1108/H.R. 2525) 340b Drug Discount –Safety Net Inpatient Drug Affordability Act (S. 1840/H.R. 3547) Home Health Services –Medicare Rural Home Health Payment Fairness Act (S. 300/H.R. 11) Expansion of Cost-Based Reimbursement –Rural Community Hospital Assistance Act of 2005 (S. 933/H.R. 2350)

Kansas Hospital Association Other Legislation Rural Health Care Capital Access Act (H.R. 4912) –Provide a 5-year extension of the HUD 242 program The Comprehensive Immigration Reform Act (S. 2611) –Would extend permanently the State 30/J-1 visa program; allow more qualified, internationally trained nurses to work in U.S. The Health Information Technology Promotion Act (H.R. 4157) –Accelerate the use of health information technology and would establish national standards on privacy. Offers anti- kickback and physician self-referral exemptions for hospitals that share hardware, software, or information training and support to physicians.

Kansas Hospital Association State Issues

Kansas Hospital Association Looking Ahead… Transparency –Pricing, Quality, etc. Billings and Collections Medicaid Health Policy Authority Uninsured Concealed Weapons Fire Mashal and State Surveys Other legislative issues: –Infection reporting; staff ratios; workforce

Kansas Hospital Association The Time is Now.. DO invest in a relationship with your legislators DO invite them to the hospital DO share with them any issues, concerns DO thank them for their support DO let us know if you have a personal relationship with your legislators

Kansas Hospital Association Questions?