Messages to Congress
Last year Congress passed a law mandating site-neutral Medicare outpatient payments. The Centers for Medicare & Medicaid Services has proposed a new regulation implementing this policy that NAUH believes will detract from the ability of urban safety-net hospitals to bring much-needed outpatient care to their communities. Now, NAUH is asking members of Congress to sign onto a letter to CMS urging the agency to revise aspects of that regulation that pose potential barriers to ensuring access to these services.
In response to growing evidence that the Medicare readmissions reduction program is unfair to urban safety-net hospitals and others like them that care for especially large numbers of low-income patients, NAUH has written to the chairmen of the House Ways and Means Committee and its Health Subcommittee asking Congress to require Medicare to add a risk adjustment component to the program, thereby leveling the playing field among all types of hospitals.
Last November Congress passed a law that established a new, site-neutral Medicare payment policy for newly acquired, provider-based, off-campus outpatient departments. In response to protests about the new law, the House Energy and Commerce Committee’s Health Subcommittee has invited the provider community to share its views on the law. In this comment letter, NAUH identifies four specific circumstances under which urban safety-net hospitals believe outpatient payments should not be made on a site-neutral basis.