PA Safety Net Admin, Author at Safety-Net Association of Pennsylvania

Graduate Medical Education: Boon or Bane for Hospitals’ Bottom Line?

Do hospitals make money on graduate medical education? Do they lose money subsidizing positions above and beyond the funding they receive for completing the training of the next generation of doctors? Are there other benefits hospitals reap from medical education training programs – and are those benefits worth the cost?
This is an important question for the many Pennsylvania safety-net hospitals that also are teaching hospitals.
Crain’s Detroit Business has taken a look at some of the surprisingly complex considerations that go into answering what seem like very simple questions. Go here for its report “Hospitals say they subsidize graduate medical education, but cost-benefit unknown.”

PA Safety Net Admin2015-07-23T06:00:32+00:00July 23rd, 2015|Medicare|Comments Off

Unleashing Nurse Practitioners Could Save PA Billions, Report Says

A new report suggests that enabling nurse practitioners to practice without collaborating physicians could save Pennsylvanians $6.4 billion in health care costs over the next ten years.
In addition, nurse practitioners are more likely than physicians to serve in rural and medically underserved areas and would provide primary care at a time when the state is facing a predicted shortfall in primary care physicians.
Twenty-one states already permit nurse practitioners to practice without a collaborating physician.
The study, “Value of Full Practice Authority in Pennsylvania,” was performed by law students at the Duke University School of Law and underwritten by the Pennsylvania Coalition of Nurse Practitioners. Find the study here.

PA Safety Net Admin2015-07-20T06:00:29+00:00July 20th, 2015|Uncategorized|Comments Off

GAO Identifies Medicaid Challenges

As Medicaid marks its 50th anniversary, the U.S. Government Accountability Office (GAO) testified recently before the House Energy and Commerce Committee’s Health Subcommittee on the major challenges facing the program.
GAO’s testimony focused on four major issues:

access to care
transparency and oversight
program integrity
federal financing

The GAO concluded that it

…considers Medicaid a high-risk program due to its size, growth, diversity, and gaps in oversight…

See GAO’s complete testimony here.

PA Safety Net Admin2015-07-16T06:00:43+00:00July 16th, 2015|Uncategorized|Comments Off

Study Finds Shortage of Nurses in PA

A study commissioned by the Pennsylvania State House of Representatives has found a shortage of nurses in Pennsylvania hospitals.
The study, performed by the Joint State Government Commission, found

…a clear relationship between nurse staffing and patient outcomes. Although there is not an overall shortage of nurses in Pennsylvania, Pennsylvania hospitals vary significantly from one to the next in terms of nurse staffing, which contributes to disparities in quality of care across the state. This variation is much greater than can be justified by differences in patient need and is not in the public interest.

Based on these findings, the Joint State Government Commission offered the following recommendations:

Pennsylvania should improve nurse workforce data collection and analysis.
Pennsylvania should consider implementing a public reporting system for hospital staffing levels.
Hospitals should consider consistency of nurse staffing “off-shifts” (nights, weekends, holidays).
Pennsylvania hospitals should make improvements to the nurse work environment.
Pennsylvania should increase the percent of nurses with a Bachelor’s of Science degree in nursing.
Pennsylvania should extend the whistleblower protection law to include nurses.

Go here for the Joint State Government Commission report Professional Bedside Nursing in Pennsylvania: A Staff Study.

PA Safety Net Admin2015-07-15T06:00:33+00:00July 15th, 2015|Uncategorized|Comments Off

Medicaid Highlighted in Latest Health Affairs

The journal Health Affairs has dedicated its July 2015 edition to “Medicaid’s Evolving Delivery Systems.”
The edition includes the following articles about different aspects of Medicaid:

“Medicaid’s Growing Role in Care Delivery”
Once a Welfare Add-On, Medicaid Takes Charge in Reinventing Care”
“Medicaid at 50: Remarkable Growth Fueled by Unexpected Politics”
“Medicaid Moving Forward”
“Community Health Centers and Medicaid at 50: An Enduring Relationship Essential for Health System Transformation”
“Many Medicaid Beneficiaries Receive Care Consistent With Attributes of Patient-Centered Medical Homes”
“MetroHealth Care Plus: Effects of a Prepared Safety Net on Quality of Care in a Medicaid Expansion Population”
“Lessons From Medicaid’s Divergent Paths on Mental Health and Addiction Services”
“The Supreme Court Ruling That Blocked Providers From Seeking Higher Medicaid Payments Also Undercut the Entire Program”
“An Examination of Medicaid Delivery System Reform Incentive Payment Initiatives Under Way in Six States”
“Early Medicaid Expansion in Connecticut Stemmed the Growth in Hospital Uncompensated Care”
“Reducing Medicaid Churning: Extending Eligibility for Twelve Months or to End of Calendar Year is Most Effective”

Medicaid is, of course, among Pennsylvania safety-net hospitals’ most important payers.
Find the July edition of Health Affairs here.

PA Safety Net Admin2015-07-14T06:00:48+00:00July 14th, 2015|Uncategorized|Comments Off

GAO Reports on 340B Program

The U.S. Government Accountability Office (GAO) recently completed a review of the federal 340B Drug Pricing Program.
The program, which requires pharmaceutical companies to provide drug discounts to qualified hospitals that serve especially large proportions of low-income patients, has come under fire recently because approximately 40 percent of U.S. hospitals now participate in the program and there have been questions about how hospitals use the program and its drug discounts.
The GAO found that Medicare Part B spending on drugs was much higher at participating 340B hospitals than it was at non-participating hospitals, suggesting that participating hospitals prescribe more drugs and more expensive drugs. It found that

The Centers for Medicare & Medicaid Services (CMS), which administers the Medicare program, uses a statutorily defined formula to pay hospitals for drugs at set rates regardless of hospitals’ costs for acquiring the drugs. Therefore, there is a financial incentive at hospitals participating in the 340B program to prescribe more drugs or more expensive drugs to Medicare beneficiaries.

In the review, GAO recommended that

Congress should consider eliminating the incentive to prescribe more drugs or more expensive drugs than necessary to treat Medicare Part B beneficiaries at 340B hospitals.

Go here to find the GAO report Action Needed to Reduce Financial Incentives to Prescribe 340B Drugs at Participating Hospitals.
A number of groups have criticized GAO’s findings. Learn about their perspective in articles in Healthcare Finance News, Modern Healthcare, and Becker’s Hospital Review.

PA Safety Net Admin2015-07-13T06:00:49+00:00July 13th, 2015|Medicare|Comments Off

Medicaid Cost-Sharing Re-Emerges

States are beginning to look anew at imposing cost-sharing requirements on their Medicaid population.
Indiana now requires Medicaid recipients to contribute to health savings accounts, Arkansas and Iowa have cost-sharing requirements, and Arizona, Ohio, and Utah are considering introducing cost-sharing.
This new trend is emerging after years out of favor when cost-sharing in Medicaid and children’s health insurance programs led to declining enrollment in Florida, Kentucky, New Hampshire, Oregon, and Wisconsin.
The new “Healthy Indiana Plan” is receiving a good deal of attention for its use of health savings accounts instead of premiums and co-pays. People who put money in their health savings accounts essentially get free care while those who engage in certain preventive activities can see their required contributions fall and those who fail to make the payments can lose some benefits.
Learn more about the renewed interest in requiring Medicaid patients to pay for some of their health care and the potential implications of such an effort in this Los Angeles Times article.

PA Safety Net Admin2015-07-10T06:00:01+00:00July 10th, 2015|Uncategorized|Comments Off

Medicare Proposes Changes in Two-Midnight Rule

The Centers for Medicare & Medicaid Services (CMS) has unveiled a proposal for long-awaited changed in its controversial Medicare “two-midnight rule.”
The changes, part of the agency’s proposed 2016 Medicare outpatient prospective payment system regulation released last week, include:

changes in the standards by which inpatient admissions qualify for Medicare Part A payments
a shift in responsibility for enforcement of the regulation, with Quality Information Organizations (QIOs) taking over from Recovery Audit Contractors (RAC auditors).
changes in how long hospitals have to rebill for Medicare Part B services
time limits on auditor requests for additional information about claims
new limits on when recovery auditors must complete complex reviews and how long they must wait before sending claims to Medicare administrative contractors (MACs) for adjustment so providers have a reasonable opportunity to comment on preliminary findings.

CMS has published a fact sheet on the proposed changes in the two-midnight rule; find that fact sheet here. The two-midnight rule changes are part of a broader proposed regulation governing Medicare outpatient payments to providers in 2016. Find that proposed regulation here.

PA Safety Net Admin2015-07-07T06:00:30+00:00July 7th, 2015|Medicare|Comments Off

Medicaid Limits on High-Cost Drugs Illegal?

With the recent proliferation of high-cost drugs threatening many states’ Medicaid budgets, some of those states have attempted to impose limits on the use of those drugs.
But are those limits legal?
That is the question addressed in a new report in the Annals of Internal Medicine, which notes that

Current restrictions seem to violate federal Medicaid law, which requires states to cover drugs consistent with their U.S. Food and Drug Administration labels.

So are those limits legal? Or will patients and their advocates have grounds to challenge limits to their access to potentially life-saving or life-improving drugs?
Learn more about this situation in the new report “Restrictions for Medicaid Reimbursement of Sofosbuvir for the Treatment of Hepatitis C Virus Infection in the United States” here, on the web site of the Annals of Internal Medicine.

PA Safety Net Admin2015-07-06T06:00:46+00:00July 6th, 2015|Uncategorized|Comments Off

Real estate laws on the move

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PA Safety Net Admin2015-07-02T16:58:39+00:00July 2nd, 2015|Acquisitions, Financial, Taxes|Comments Off

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