Ohio Hospitals: 2014 Preliminary HCAP Model Released

In 2014, Ohio hospitals anticipate receiving $374,022,296 in HCAP funding from the federal government in return for paying assessments totaling $220,030,862. The distribution formula will undergo significant changes in 2014 due to Medicaid expansion and the ability of federal DSH auditors to recoup overpayments from hospitals found to have received payments in excess of their hospital-specific DSH limit. – The 2014 Preliminary HCAP Model is available for download here.

From Ohio Hospital Association

By |October 24th, 2014|Health Reform|Comments Off

CMS Launches $840 Million Initiative to Support Quality Improvement

The Centers for Medicare & Medicaid Services (CMS) will invest $840 million over the next four years to support the adoption, development, and sharing of quality improvement strategies that could improve patient health and reduce healthcare costs.

The Transforming Clinical Practice Initiative will support evidence-based, peer-led collaboratives and practice transformation networks that will support clinicians and their practices as they move toward and navigate value-based business models for care delivery. The initiative is expected to include 150,000 clinicians.

“To date, there have only been small-scale investments in a collaborative peer-based learning initiative,” CMS stated in a release. “CMS estimates that about 185,000 clinicians currently participate in existing programs, models, and initiatives that facilitate practice transformation. This represents only 16 percent of the nation’s one million Medicare and Medicaid providers. While this is an increase over previous years, there is much more work to be done.”
Taking a Closer Look
CMS will award funding for two network systems under this initiative:

Practice Transformation Networks, peer-based learning networks designed to coach, mentor, and assist clinicians in developing core competencies specific to practice transformation
Support and Alignment Networks, which will provide a system for workforce development utilizing national and regional professional associations and public-private partnerships that are currently […]

By |October 24th, 2014|Medicare/Medicaid|Comments Off

Poll: 89 Percent of Uninsured Unaware of Open Enrollment

About 9 in 10 of the uninsured are unaware that the second open enrollment season for purchasing coverage on the government-run health insurance marketplaces begins in less than four weeks, according to a new poll.

The ongoing Kaiser Family Foundation tracking poll also found two-thirds (66 percent) of the uninsured know “only a little” or “nothing at all” about the marketplaces created by the Affordable Care Act (ACA), and more than half (53 percent) are unaware that federal subsidies are available to people with incomes from 138 to 400 percent of the federal poverty level.

The lack of knowledge about the start of open enrollment on Nov. 15 could present challenges to providers and others trying to reduce the numbers of uninsured because the second sign-up period will last only three months—unlike the first six-month enrollment period.
Marketplace Impact
The low level of awareness about the coming open enrollment was reflected in the coverage plans of the uninsured. Although most uninsured (59 percent) plan to get coverage soon, only 7 percent plan to get it through a marketplace. Instead, 15 percent plan to get coverage from an employer and 8 percent expect to get Medicaid coverage.

Among the 38 percent who expect to remain […]

By |October 24th, 2014|Health Reform|Comments Off

 

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