1 / 11

DSH National Provider Call HFMA Education Session #3 February 21, 2013

DSH National Provider Call HFMA Education Session #3 February 21, 2013. Presented by: Donna Anglin, FHFMA, MBA Principal Consultant 2552PRO plus , LLC. National Provider Call - Intro. Held January 8, 2013 Goal Solicit public c omment Review payment requirements under ACA

lee-rocha
Download Presentation

DSH National Provider Call HFMA Education Session #3 February 21, 2013

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. DSH National Provider CallHFMA Education Session #3February 21, 2013 Presented by: Donna Anglin, FHFMA, MBA Principal Consultant 2552PROplus, LLC

  2. 2552PROplus, LLC National Provider Call - Intro • Held January 8, 2013 • Goal • Solicit public comment • Review payment requirements under ACA • Present findings of consultant’s analyses • Presented by Dobson DaVanzo & Assoc. and KNG Health Consulting – consultants commissioned by CMS to provide technical assistance in implementing the new policy

  3. 2552PROplus, LLC Scope of Work • Analyses of potential definitions and data sources for measuring the change in the uninsured and levels of uncompensated care

  4. Estimates for the Uninsured • For FY 2014-2017, Sec. 3133 prescribes the use of uninsured estimates from the Congressional Budget Office • How good will these estimates be considering the decision of many states to opt out of Medicaid expansion under the ACA • For FY 2018 and onwards, other sources may be used 2552PROplus, LLC

  5. Uninsured Data Sources • Five National Surveys were reviewed and compared • Current Population Survey – U.S. Census Bureau and Bureau of Labor Statistics • American Community Survey – U.S. Census Bureau • Survey of Income Program and Participation – U.S. Census Bureau • Medical Expenditure Panel Survey - Agency for Healthcare Research and Quality • National Health Interview Survey - National Center for Health Statistics 2552PROplus, LLC

  6. What does “Uncompensated Care” Mean? • A literature review was undertaken as well as stakeholder interviews • As expected, variations were found in how existing programs and entities define uncompensated care • Charity Care and Bad Debt are always included in the definition • Some entities also include payment shortfalls from government funded plans 2552PROplus, LLC

  7. Uncompensated Care • The most common definition of uncompensated care is: Bad Debt + Charity Care = Uncompensated Care 2552PROplus, LLC

  8. Data Sources • Where can we pull the data? Several data sources were reviewed including: • AHA Annual Survey/TrendWatch • Publicly Available Hospital Financial Data (from State agencies) • Medicaid DSH Audit Data • IRS Form 990 (non-profit hospitals) • 2552-96 Medicare Cost Report • 2552-10 Medicare Cost Report 2552PROplus, LLC

  9. 2552-10 • Of the data sources reviewed, the data reported on Worksheet S-10 on CMS 2552-10 is the only publicly available source that contains the Charity Care and Bad Debt data discussed earlier • Of course, improvements could be made - the AHA suggested several in their 10/10/12 comment letter • The S-10 data from the 2552-10 report WILL be available in time for CMS to develop the FY 2014 IPPS Proposed Rulemaking 2552PROplus, LLC

  10. How Will the “New” DSH be Paid? • Several listeners on the call questioned how the payments would be made (by what mechanism) • Will the PC Pricerbe updated? • CMS declined to answer • All questions will be answered in the proposed rule 2552PROplus, LLC

  11. FY 2014 Proposed Rule • There will be no preview of §3133 DSH policies as they won’t be released until the FY 2014 Proposed Rule is available 2552PROplus, LLC

More Related