1 / 17

Brock Slabach, MPH, FACHE Senior Vice President for Member Services

Brock Slabach, MPH, FACHE Senior Vice President for Member Services National Rural Health Association. Healthcare Issues from the National Perspective Indiana Rural Health Assoc. Improving the health of the 62 million who call rural America home. NRHA is non-profit and non-partisan.

lel
Download Presentation

Brock Slabach, MPH, FACHE Senior Vice President for Member Services

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. Brock Slabach, MPH, FACHE Senior Vice President for Member Services National Rural Health Association Healthcare Issues from the National Perspective Indiana Rural Health Assoc.

  2. Improving the health of the 62 million who call rural America home. NRHA is non-profit and non-partisan.

  3. National Rural Health Association Membership 2012

  4. Membership and Foundation www.ruralhealthweb.org Join NRHA Today! Give to our newly formed Foundation

  5. 2013 Meetings • Rural Health Policy Institute Washington, DC, February 3-5, 2013 • Annual Conference Louisville, KY, May 7-10, 2013 • Quality/Clinical Conference Chicago, IL, July 16-17, 2013 • RHC/CAH Conference Austin, TX, Oct. 1-4, 2013

  6. May you live in interesting times.--Chinese Proverb

  7. 2012 General Election • The more things change, the more they stay the same • Voters retained status quo • Same President • Same Congress • D Senate Control • R House Control

  8. The “Fiscal Cliff:Averted…Sort of • Bush era tax cuts ended Dec. 31 • Rates in tact for income up to $400K • Payroll tax cuts ended Dec. 31 • Not renewed • SGR Fix, 30% cut to physician fee schedule • Moratorium extended until Dec. 31, 2013 • Sequester of 2% (Medicare Reduction) • 2 month implementation delay (March 1)

  9. Provisions of New Year’s Legislation • Medicare Physicians Update (SGR Fix) through Dec. 31, 2013 • Work Geographic Adjustment, extends 1.0 floor on work index until Dec. 31, 2013 • Outpatient Therapy Caps, extends exception process on $1,880 beneficiary limit until Dec. 31, 2013

  10. Provisions of New Year’s Legislation • Ambulance Add-on Payments, extended until Dec. 31, 2013 • Low-volume Hospital (LVH), add-on payments extended until Sep. 30, 2013 • Medicare-dependent Hospital (MDH) extended until Sep. 30, 2013

  11. Next 60 days…… • Debt Ceiling • Sequester Debate • Appropriations process, current CR expires in March • NRHA Policy Institute, Feb. 3.-6 in Washington, DC

  12. NRHA Concerns for 2013 • Possible “pay-fors:” • CAH reimbursement reduction to 100% • Elimination of CAH status within 10 or 15 miles of another hospital • Elimination of CAH status altogether • Restrict provider taxes states may levy to fund State’s share of Medicaid

  13. NRHA Concerns for 2013 • ACA Implementation • Physician Supervision regulations • Provider Taxes as a Reimbursable Cost • ICD-10 Conversion • Meaningful Use of EHR’s and Rural Adoption Rates • Bad Debt Reduction by 35% over 3 years

  14. Devastating Impact of Sequestration Rural Health Care Safety Net is fragile 2% across the board cuts are disproportionately harmful to rural. Rural hospitals and clinics operate at a narrow financial margin - - in fact 41% of CAH’s are operating in the red

  15. 60 Day Advocacy Plan • Contact your members of Congress. • Ask them to protect rural programs during debt ceiling, sequester and appropriations debate. • Share with them the value of rural healthcare. • It’s all about jobs and access!

  16. Brock Slabach, MPH, FACHE Senior Vice President for Member Services National Rural Health Association bslabach@nrharural.org THANK YOU

More Related