CMS guidance details how states can apply the Medicaid medical frailty exemption
New guidance from CMS explains how states can operationalize the medical frailty exemption to the Medicaid work requirement. Per the guidance, the intent is for states to identify medically frail beneficiaries proactively through claims and other existing data to the degree possible, thereby alleviating the administrative burden and risk of coverage loss facing those beneficiaries.…
Medicaid underpayments increasingly drive community benefits for nonprofit hospitals
Medicaid underpayments have increased from 32% to 45% of community benefits reported by nonprofit hospitals from 2011 to 2021, while financial assistance, or charity care, has decreased from 23% to 14% over the same period.