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New Analysis Reveals Hospitals Critical To Protecting Care For Rural America

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In case you missed it, a new analysis demonstrates the critical role hospitals play in protecting access to healthcare in rural communities, including those with the most vulnerable patients. The findings reveal how hospitals serve as lifelines for rural communities, covering existing gaps in care by reinvesting in hospital outpatient departments (HOPDs) and alleviating pressure on physician […]

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Serious Asian Senior Woman in 90s Looking Out of Window

Corporate Insurers Take More Than $88 Billion In Medicare Overpayments While Denying Critical Care

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In case you missed it, a new report uncovers how corporate insurance companies are banking record profits while being overpaid by the Medicare program by tens of billions of dollars. New findings released by the Medicare Payment Advisory Commission (MedPAC) reveal that the federal government “is projected to pay privately run Medicare Advantage plans $88 billion more in 2024 than it

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Portrait of young patient holding iv drip in ward

‘Medicare Reimbursement Hits New Low,’ Corporate Insurers Lobby For Medicare Cuts To Hospital Care

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In case you missed it, Becker’s reports that “Medicare historically reimburses hospitals below the cost of providing care to patients, but payments to hospitals fell to a record low in 2022, according to new data provided by the American Hospital Association.” The analysis “shows that Medicare paid 82 cents for every dollar hospitals spent on care for Medicare patients in

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US Congress

If Politicians Cut Hospital Care, Patients Will Pay Price

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Hospitals and health systems throughout the nation provide critical care 24 hours a day, seven days a week while under financial strain. But powerful special interests are lobbying Congress to enact harmful Medicare cuts that would put American patients and the hospitals they count on at risk. Here are some key facts reporters should consider

If Politicians Cut Hospital Care, Patients Will Pay Price Read More »

Medicare Advantage Delays Denials Threaten Access to Rural Health Care

ICYMI: Medicare Advantage Delays & Denials Threaten Access to Rural Healthcare

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Some commercial health insurers administering Medicare Advantage plans continue to put profits over patient care, routinely delaying and denying critical care for patients and communities, NBC News reports. Some commercial health insurance companies have long looked for opportunities to deny and delay coverage by abusing prior authorization and automated claims processing to deny millions of claims,

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Cost of Care Underpayments by Medicare and Medicaid Programs

Cost of Care: Underpayments by Medicare and Medicaid Programs

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Hospitals nationwide continue to be relied on to serve their communities following a global pandemic, but the financial reality is hospitals are not fully compensated for a significant amount of the care they provide. The cost of providing care is rising, in part because onerous insurance company policies and regulations – like prior authorization –

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What You Need to Know About Medicaid DSH 02

What You Need to Know About Medicaid Disproportionate Share Hospitals (DSH)

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UPDATE Aug. 15, 2023: The Centers for Medicare and Medicaid Services (CMS) recently unveiled its final Inpatient Prospective Payment System (IPPS) rule for FY 2024, which results in a $957 million cut to DSH hospitals. This astronomical loss threatens hospitals’ ability to continue providing essential services to underserved communities, at a time when millions are losing Medicaid

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New Ad Campaign Urges Congress to Protect Medicare & Access to Care for Seniors

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The Coalition to Protect America’s Health Care has launched a new TV ad urging Congress not to make reductions to Medicare payments to hospitals and health systems that would reduce access to care and services for Medicare patients. The ad notes that the federal government pays hospitals just 84% of the cost of caring for seniors on

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