SNAP Comments on Proposed Medicaid Waiver

The Safety-Net Association of Pennsylvania has submitted extensive comments to the Pennsylvania Department of Public Welfare regarding the state’s application for a section 1115 Medicaid waiver needed to enable the state to expand its Medicaid program through private market insurers.
The highlights of SNAP’s comments include its call for extending retroactive eligibility to those who obtain Medicaid coverage through the private market; easing proposed limits on benefits and penalties for non-payment of premiums; retaining the current supplemental Medicaid payments qualified hospitals receive; and pursuing greater investment in the health care infrastructure of communities with especially high proportions of low-income patients.
See SNAP’s complete written submission here.Safety-Net Association of Pennsylvania logo.

2014-01-14T11:47:11+00:00January 14th, 2014|Health care reform, Healthy PA, Medicaid supplemental payments, Pennsylvania Medicaid policy, Safety-Net Association of Pennsylvania|Comments Off on SNAP Comments on Proposed Medicaid Waiver

SNAP Testifies About Healthy Pennsylvania

The Safety-Net Association of Pennsylvania (SNAP) has weighed in on Governor Corbett’s Healthy Pennsylvania health care reform and insurance expansion proposal.
Testifying at a January 9 public hearing in Harrisburg, SNAP president Michael Chirieleison expressed general support for the Healthy Pennsylvania proposal and addressed four aspects of it that safety-net hospitals would like to see improved: Safety-Net Association of Pennsylvania logo

  •  extension of retroactive eligibility to the Medicaid expansion population;
  • including inpatient services provided to that same population as “Medicaid days” for the purpose of determining eligibility for supplemental Medicaid payments and other government programs;
  • reconsideration of proposed benefit limits and suspension of eligibility for non-payment of premiums; and
  • the addition of a Delivery System Reform Incentive Program or a similar program to support the development of health care infrastructure in communities with large numbers of low-income Pennsylvanians.

Read SNAP’s testimony here.

2014-01-09T14:14:05+00:00January 9th, 2014|Affordable Care Act, Health care reform, Healthy PA, Pennsylvania Medicaid policy|Comments Off on SNAP Testifies About Healthy Pennsylvania

ACA Drives Rise in Medicaid Enrollment

While some aspects of implementation of the Affordable Care Act continue to struggle with technical problems, one aspect is moving ahead effectively:  enrollment in Medicaid is on the rise.
More than 400,000 newly eligible people in just ten states have enrolled in Medicaid since October 1.  The ten states are among the 25 that have decided to expand their Medicaid programs in accordance with provisions of the federal health care reform law.  Other states either have chosen not to expand their programs or are still undecided about expansion.
Pennsylvania is one of the states that has not expanded its Medicaid program but state officials are currently negotiating a possible expansion with the federal government.  The Safety-Net Association of Pennsylvania supports such an expansion.
The Congressional Budget Office projects that nine million people will join the Medicaid ranks through Affordable Care Act expansion provisions in the coming year.
For more about the increase in Medicaid enrollment and how it is being accomplished despite some of the reform law’s early technical problems, see this Washington Post article.

2013-11-13T06:00:03+00:00November 13th, 2013|Affordable Care Act, Health care reform, Pennsylvania Medicaid policy|Comments Off on ACA Drives Rise in Medicaid Enrollment

SNAP Asks PA Delegation to Protect Safety-Net Hospitals in Budget Talks

As the congressional budget conference committee begins its work, SNAP has asked members of Pennsylvania’s congressional delegation to urge their colleagues serving on the committee to protect the state’s safety-net hospitals from any further Medicare and Medicaid cuts.
Safety-Net Association of Pennsylvania logoIn the message, SNAP notes the significant Medicare and Medicaid cuts the state’s safety-net hospitals have already suffered and warns that further cuts could jeopardize access to care in communities across the commonwealth.
Read SNAP’s message to the Pennsylvania congressional delegation here, on the SNAP web site.

2013-10-30T06:00:36+00:00October 30th, 2013|Pennsylvania Medicaid policy, Safety-Net Association of Pennsylvania, Uncategorized|Comments Off on SNAP Asks PA Delegation to Protect Safety-Net Hospitals in Budget Talks

CMS Finalizes Medicaid DSH Cuts

The Centers for Medicare & Medicaid Services (CMS) has issued a final Medicaid disproportionate share (Medicaid DSH) regulation that cuts federal spending on Medicaid DSH $500 million in FY 2014 and $600 million in FY 2015.
The Medicaid DSH cuts were mandated by the Affordable Care Act in anticipation of every state expanding its Medicaid program.  The reform law’s Medicaid expansion mandate was later made optional by a Supreme Court ruling.
Medicaid DSH cuts will hurt all Pennsylvania safety-net hospitals, and the Safety-Net Association of Pennsylvania (SNAP) has conveyed its opposition to the cuts to CMS and also has asked members of Pennsylvania’s congressional delegation to support current legislation to delay the implementation of both Medicaid DSH and Medicare DSH cuts for two years.
While the Affordable Care Act calls for Medicaid DSH cuts through 2020, the new regulation covers only two years.  CMS has indicated that it will review its reduction methodology for future years.
Read more about the Medicaid DSH cut, why it was made, the objections to it, and future Medicaid DSH cuts in this CQ Healthbeat article presented by the Commonwealth Fund.

2013-09-20T06:00:29+00:00September 20th, 2013|Affordable Care Act, Pennsylvania Medicaid policy|Comments Off on CMS Finalizes Medicaid DSH Cuts

The Implications of Rejecting Medicaid Expansion

Twenty-one states have decided not to expand their Medicaid programs under the Affordable Care Act and another six states remain undecided.
How will these decisions affect these states and their residents?  How many people who might have become eligible for Medicaid will remain uninsured?  How much federal Medicaid revenue will these states forgo?  How will these decisions affect hospitals’ uncompensated care costs?  How might payments to hospitals be affected?
Pennsylvania is one of the six states where Medicaid expansion is still being considered, and the report includes specific projections for the commonwealth.  The Safety-Net Association of Pennsylvania (SNAP) supports Medicaid expansion in the state.
A new study from the Urban Institute attempts to quantify the answers to these and other questions.  Find “The Cost of Not Expanding Medicaid” here, on the web site of the Kaiser Commission on Medicaid and the Uninsured.

2013-07-25T06:00:48+00:00July 25th, 2013|Health care reform, Pennsylvania Medicaid policy, Safety-Net Association of Pennsylvania|Comments Off on The Implications of Rejecting Medicaid Expansion

SNAP Comments on Observation Rate Proposal

The Safety-Net Association of Pennsylvania has submitted a formal comment letter to the state’s Department of Public Welfare in response to the department’s expressed interest in establishing an observation rate in the state’s Medical Assistance fee-for-service program.
DPW expressed this interest in a June 29 Pennsylvania Bulletin notice.
SNAP supports the creation of an observation rate, and in its letter it outlines how it believes DPW should go about developing a rate that is fair to hospitals.
Safety-net hospitals have a special interest in this issue because observation rate candidates enter hospitals through their emergency rooms and safety-net hospitals typically have among the busiest emergency rooms in the communities they serve.
Read SNAP’s observation rate comment letter hereSafety-Net Association of Pennsylvania logo.

2013-07-23T16:12:30+00:00July 23rd, 2013|Pennsylvania Bulletin, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy, Safety-Net Association of Pennsylvania|Comments Off on SNAP Comments on Observation Rate Proposal

PA Senate to Move on Medicaid Expansion

Pennsylvania state Senate leaders plan to bring a vote to expand the state’s Medicaid program to the Senate floor this week.
The bill, according to Senate leaders, will include conditions that will make it more palatable to more conservative Republicans and the governor.  Democrats are already thought to support Medicaid expansion.
While the bill is considered likely to enjoy solid support in the Senate, it is not clear whether the state House is as interested in Medicaid expansion as envisioned under the federal Affordable Care Act.
The Safety-Net Association of Pennsylvania (SNAP) supports Medicaid expansion in the state.
Read more about the Senate bill, who is behind it, and what the bill says in this Centre Daily Times article.

2013-06-24T06:00:32+00:00June 24th, 2013|Health care reform, Pennsylvania Medicaid policy, Safety-Net Association of Pennsylvania|Comments Off on PA Senate to Move on Medicaid Expansion

Will Medicaid Coverage Mean Access?

With many states preparing to expand their Medicaid programs and enroll unprecedented numbers of new people, it is not clear whether Medicaid coverage will lead to access to care.
That concern arises in the wake of a survey that found that only 43 percent of physicians accept Medicaid patients.  Other providers, moreover, may not be up to filling the gap:  the same survey found that only 20 percent of physician assistants and nurse practitioners serve Medicaid patients.
Thus, while more people than ever will have health insurance once the Medicaid expansion component of the Affordable Care Act takes effect, it is not clear whether those who find themselves newly insured will have reasonable access to medical services.
While the Affordable Care Act attempts to anticipate this challenge by raising the traditionally low fees that Medicare pays primary care physicians to the same level as those paid by Medicare for the next two years, it is not clear whether this new policy is working and if will have a lasting impact after the two-year experiment ends.
This could become a major challenge for Pennsylvania’s safety-net hospitals if the state eventually chooses to expand its Medicaid program.  To date, the state has chosen not to expand the program but has been discussing the possibility of doing so with federal officials.  The Safety-Net Association of Pennsylvania (SNAP) supports Medicaid expansion in the state.
Read more about the survey and its implications in this Healthcare Finance News reportDoctor listening to patient.

2013-05-08T06:00:00+00:00May 8th, 2013|Pennsylvania Medicaid policy, Safety-Net Association of Pennsylvania|Comments Off on Will Medicaid Coverage Mean Access?

Medicaid Expansion Would Boost PA’s Economy and Save Money, New Report Says

Expanding Medicaid eligibility as envisioned in the Affordable Care Act would boost the state’s economy and save state government money, according to a new study.
In the report “Economic and Fiscal Impact of Medicaid Expansion in Pennsylvania,” the Pennsylvania Economy League and the PA Health Funders Collaborative concluded that Medicaid expansion in the state would generate $4.4 billion in state government savings, bring $32 billion of new federal government money into the state’s economy, support as many as 40,000 new jobs and $3.6 billion in new tax revenue, and have a positive fiscal impact of more than $5 billion.
The Safety-Net Association of Pennsylvania supports Medicaid expansion in the state.
Read the entire report here, on the web site of the Pennsylvania Economy League.

2013-04-26T06:00:07+00:00April 26th, 2013|Health care reform, Pennsylvania Medicaid laws and regulations, Safety-Net Association of Pennsylvania|Comments Off on Medicaid Expansion Would Boost PA’s Economy and Save Money, New Report Says
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