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Leadership Summit on State Medicaid Waivers
Join us Sept. 29, in Chicago, for a one-day summit on incentivizing delivery system reform. We'll present current trends in Medicaid waiver design and perspectives from hospital executives, government relations experts, and waiver state officials.

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Join Us in Person for In-Depth Learning on Key Issues for Essential Hospitals

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Innovation does not end with implementation - ongoing evaluation and refinement also are key to ensure success.

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The U.S. Court of Appeals for the DC Circuit has ruled that people who purchase health insurance through the federally facilitated marketplace are ineligible for ACA subsidies. The 4th Circuit Court of Appeals in Virginia released a conflicting opinion hours later.

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Leaders in the House and the Senate are circulating letters expressing their support for the 340B program.

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House Republicans continue negotiations on President Obama's request for emergency supplemental funding to address the influx of undocumented minors. The Senate HELP committee will be marking up eight bills, including the Trauma Systems and Regionalization of Emergency Care Reauthorization Act.

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Memorial Healthcare System's Health Intervention with Targeted Services Program used targeted education, preventive care, and eligibility assistance to enroll uninsured and underinsured patients, reduce uncompensated care costs, and increase revenue.

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CMS awarded contracts to 14 organizations as part of the restructuring of the Quality Improvement Organization (QIO) Program. These organizations will work with providers to increase quality of care.

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New interpretive rule will address the 340B orphan drug exclusion.

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Letters of nomination and resumes are currently being accepted for six MACPAC seats. Appointments will be effective Jan. 1, 2015. Nominations can be submitted through Sept. 5.

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The program is designed to support states as they develop and transition to innovative care and payment models.

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In particular, OPA has changed the process for correcting or otherwise addressing any findings on which covered entities and auditors disagree.

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The GAO study found that private payers reimburse at higher rates than Medicaid for office visits, hospital care, and emergency care. The study was conducted with data from before the temporary increases in Medicaid reimbursement, which are set to expire at the end of 2014.

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GAO report notes, until data are more comparable, quantifying the impact of factors that drive cost is not possible.

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CMS announces webinar for providers on the QIO program. Topics will include an overview of program changes, update on the transition process, and discussion on provider impact.

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Numerous essential hospitals were named to Hospitals & Health Networks magazine's list of 2014 most wired hospitals

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Recent articles from Health Affairs, the Joint Commission Journal on Quality and Patient Safety, the Journal for Healthcare Quality, and The New England Journal of Medicine explore efforts to reduce readmissions and infection rates, improve patient safety, and more.

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MAP released a draft report reviewing the core set of health care quality measures for adults enrolled in Medicaid and is accepting comments until July 30.

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Thirteen states received letters stating that enrollment and eligibility issues must be addressed.

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Researchers at UC San Diego found that incorporating a dedicated website and text messaging into the care of adolescent patients with chronic diseases improved disease management and self-efficacy and helped patients take control of their own health care.

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House GOP will move forward with a lawsuit against President Obama on the delay of the employer mandate without congressional approval. Energy and Commerce is marking up a variety of bills and holding hearings on the health insurance marketplaces and anthrax.

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CMS announced a second batch of prospective recipients for Health Care Innovation Awards (round 2). The 27 new recipients include four members of America’s Essential Hospitals. Awards will be used to reduce costs and improve care delivery models for Medicare, Medicaid, and CHIP patients.

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A recent study published by the Kaiser Family Foundation analyzed Medicaid spending growth during the Great Recession. Spending per enrollee grew slower than medical care inflation, national health expenditures per capita, and growth in private health insurance per enrollee.

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Hospital task force recognizes the opportunity to lead in developing a comprehensive, systems-based care transitions program.

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The agency proposes to increase payment rates by an outpatient department fee schedule increase factor of 2.1 percent for CY 2015. CMS also proposes to collect data on services provided in off-campus provider-based departments by requiring hospitals and physicians to identify these services using a modifier on hospital and physician claims.

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Recent journal articles curated from Health Affairs and the New England Journal of Medicine highlight payment reform programs and strategies and the impact of socioeconomic status on readmissions.

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CMS will introduce star ratings to Hospital Compare, Dialysis Facility Compare, and Home Health Compare as part of an effort to make information on quality of care easier to understand and compare.

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Congress returns to session focused on improving access in the VA health care system. The Senate Appropriations Committee will review the president's request for funding to contain illegal immigration of minors, and House committees will look at 21st Century Cures and Medicare reforms.

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About America’s Essential Hospitals

America’s Essential Hospitals, formerly the National Association of Public Hospitals and Health Systems (NAPH), is the only national association and champion for hospitals and health systems dedicated to high-quality care for all, including the most vulnerable. We support members with advocacy, policy development, research, and education for hospital leadership.

America’s Essential Hospitals was formerly known as the National Association of Public Hospitals and Health Systems (NAPH). Carrying our mission since 1981 into today's health care era

Learn more about the name change »