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SNAPShots

Forum on Safety-Net Hospitals

Health care reform presents a number of challenges to safety-net hospitals.  Recently, the Alliance for Health Reform and the Commonwealth Fund hosted a forum, “The Health of Safety-Net Hospitals:  How are They Faring?  What’s the Outlook?” to discuss these challenges.
Among the issues addressed in the forum were the financial challenges safety-net hospitals face in the coming years as a result of health care reform and implementation of the Affordable Care Act; the response of safety-net hospitals to these challenges; the special challenges safety-net hospitals face as a result of social, economic, and environmental conditions in the communities they serve; and proposed changes in some of the payments safety-net hospitals have long counted upon to help underwrite the care they provide to their uninsured, underinsured, and publicly insured patients.
These are the very issues that confront the the Safety-Net Association of Pennsylvania (SNAP) and private safety-net hospitals everywhere.
Visit the Alliance for Health Reform’s web site to learn more about the forum.  Available there are the participants’ PowerPoint presentations; videos and podcasts of the proceedings; and links to various source materials.  This can be found here.

2012-06-08T06:00:19+00:00June 8th, 2012|Health care reform, Safety-Net Association of Pennsylvania|Comments Off on Forum on Safety-Net Hospitals

Maternity Payment Cut Takes Effect

The Medical Assistance cut in fee-for-service inpatient payments for the care of normal newborns took effect on June 1.
According to the Department of Public Welfare (DPW), the payment reduction brings Pennsylvania into line with what other states’ Medicaid programs pay for such care.  According to hospital industry representatives, Pennsylvania hospitals still lose money on Medicaid deliveries and now will lose more.
This policy will be especially damaging to Pennsylvania’s safety-net hospitals.  Although only one-third of the state’s acute-care hospitals, safety-net hospitals perform two-thirds of all Medicaid deliveries according to the March 2012 report “Pennsylvania’s Safety-Net Hospitals:  Vital Providers, Vital Employers” prepared by the Safety-Net Association of Pennsylvania.
Read more about the state’s new policies, how it will affect hospitals, and how hospitals are responding to it in this Pittsburgh Post-Gazette articleHospital building.

2012-06-06T06:00:00+00:00June 6th, 2012|Pennsylvania Medicaid policy, Safety-Net Association of Pennsylvania|Comments Off on Maternity Payment Cut Takes Effect

Readmissions and Poverty

At a time when Medicare and many state Medicaid programs are attempting to penalize hospitals when patients are readmitted shortly after they were discharged, researchers have found that some of those readmissions are linked to factors beyond hospitals’ control.
According to research presented recently at the American Heart Association’s Quality of Care & Outcomes Research Scientific Sessions 2012, differences in regional readmission rates are more closely tied to socioeconomic factors and access to care than they are to hospitals’ performance.
Researchers found that nine percent of regional variation in hospital readmission rates can be tied to patients’ poverty.  Access to care, based on the availability of doctors and hospital beds, can be tied to 17 percent of regional variation in readmission rates.
The Safety-Net Association of Pennsylvania (SNAP) has long maintained that the low-income patients safety-net hospitals serve in especially large numbers come to them fundamentally sicker than typical hospital patients and require more resources and more effort to treat.  This research appears to support this contention.
Read more about the research in this news releaseHospital building from the American Hospital Association.

2012-05-14T09:25:32+00:00May 14th, 2012|Safety-Net Association of Pennsylvania|Comments Off on Readmissions and Poverty
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