Complex relationship between maternal unit closures and SDP funds
State-directed payments (SDPs) are credited with maintaining maternal healthcare access. However maternal care units continue to close, despite record SDP funding. Looming cuts to SDPs are widely expected by providers and advisors to result in more maternal care unit closures. But some emerging alternatives aim to improve some access. Maternal care for Medicaid enrollees is…
Utilization review, HIPAA updates and more
Nick Hut talks with HFMA’s Kathy Stull about the Medicaid work requirement and 340B developments. Erika Grotto discusses utilization review with Kevin Coloton, CEO of HURC and HIPAA updates with Jon Bilotti, enterprise technology consultant at BCS365.
Congressional Republicans signal on Medicaid cuts
Twelve Republican House moderates have expressed support for Medicaid and "cannot and will not support a final reconciliation bill that includes any reduction in Medicaid coverage for vulnerable populations," while other Republicans have signaled openness to Medicaid cuts, including work requirements and Medicaid eligibility changes.
Four financial challenges EDs face
Flat-to-declining payment rates, increasing Medicaid volumes, downcoding by payers, and increasing costs from waits and boarding have combined to increase financial challenges for hospital emergency departments in recent years.
Medicaid work requirements gain support in polls, but cuts to federal funding have mixed reactions
Congressional Republicans have proposed several Medicaid cuts, including work requirements, provider tax reductions, and a reduction in the federal match for ACA enrollees, which have received mixed reactions from the public in recent polls.