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The Potential Impact of the Affordable Care Act on Urban Safety-Net Hospitals, September 14, 2012.An NAUH study finds that private urban safety-net hospitals will bear a disproportionate share of Medicare spending cuts mandated by the Affordable Care Act. Chief among them is the massive reduction in Medicare DSH payments that takes effect in October of 2013 that will turn 60 percent of urban safety-net hospitals into money-losing institutions and lower their median operating margin to -2.02 percent.
Future Medicare Cuts and Hospital Job Losses, November 10, 2011.An NAUH study finds that hospitals may lose as many as 87,358 direct jobs because of Medicare disproportionate share (Medicare DSH) and other Medicare spending cuts associated with implementation of the Affordable Care Act and another 46,103 hospital jobs if additional Medicare cuts currently under consideration in Congress – the elimination of Medicare bad debt reimbursement and a 60 percent cut in Medicare indirect medical education payments (Medicare IME) – are adopted.
CHALLENGES IN INTERPRETING COMPLETION OF THE MEDICARE S-10 FORM, June 29, 2011.An NAUH survey found that many urban safety-net hospitals are unsure of how to report their uncompensated care and revenue associated with uncompensated care on the Medicare cost report’s S-10 form. This form may be used to help calculate Medicare DSH payments when the Affordable Care Act’s 75 percent reduction of Medicare DSH payments takes effect in 2014, making this a potentially major problem for the federal government, urban safety-net hospitals, and the communities those urban safety-net hospitals serve.
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