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Second Opinion

Learn about policy issues important to medical schools and teaching hospitals, with Executive Vice President Atul Grover, M.D., Ph.D.

Medicaid

Coverage and Delivery Reform | HIT

Medicaid is a joint federal and state safety net program that assists over 60 million low-income individuals in receiving access to clinician offices, acute and long term care services. Teaching hospitals treat a disproportionate share of Medicaid patients, with approximately 28% of all Medicaid discharges coming from COTH hospitals.

Medicaid also plays a critical role in funding graduate medical education. State and local governments, through their Medicaid programs, appropriate approximately $5 billion for medical school training annually. Most states choose to allocate a portion of their Medicaid budget to fund direct graduate medical education (DGME), indirect medical education (IME), and other special services related to teaching hospitals. Due to state budget shortfalls and the prevalence of Medicaid managed care organizations, there are serious concerns that fewer Medicaid funds will be available to train future physicians.


News and Updates


House Republicans Revive Efforts to Pass American Health Care Act

April 28, 2017

Rep. Tom MacArthur (R-N.J.) April 25 introduced an amendment to the American Health Care Act (AHCA, H.R. 1628), legislation that repeals significant portions of the Affordable Care Act (ACA, P.L. 111-148 and P.L. 111-152) and changes the Medicaid financing structure [see Washington Highlights, March 10].


MACPAC Discusses Implications of Medicaid Proposals in AHCA and Early Findings on Section 1115 Waivers

April 21, 2017

The Medicaid and CHIP Payment and Access Commission (MACPAC) Apr. 20-21 met to examine how a limited number of states used Section 1115 waivers to expand Medicaid and to discuss the implications of the Medicaid reforms proposed in the American Health Care Act (AHCA, H.R. 1628).


CMS Releases Medicaid DSH Payment Final Rule

March 31, 2017

The Centers for Medicare and Medicaid Services (CMS) March 30 issued the Treatment of Third Party Payers in Calculating Uncompensated Care Cost in Medicaid Disproportionate Share Hospital (DSH) final rule.


Health Care Bill Stalls on House Floor

March 24, 2017

The House of Representatives March 24 pulled the American Health Care Act (AHCA, H.R. 1628) just ahead of the scheduled floor vote.


MACPAC Releases March 2017 Report to Congress, Recommends CHIP Extension to 2022

March 17, 2017

The Medicaid and CHIP Payment and Access Commission (MACPAC) March 15 released its March 2017 Report to Congress on Medicaid and CHIP, which focuses on providing health insurance to children, making payments to safety-net hospitals, and monitoring access to care under managed care and fee for service.


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