underpayment

Portrait of young patient holding iv drip in ward

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

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

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

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Cost of Care Underpayments by Medicare and Medicaid Programs

Cost of Care: Underpayments by Medicare and Medicaid Programs

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)

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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