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Fact Sheet: Underpayment by Medicare and Medicaid
Each year, the American Hospital Association (AHA) collects aggregate information on the payments and costs associated with care delivered to beneficiaries of Medicare and Medicaid by U.S. hospitals.
Select Financial, Operating and Patient Characteristics of POHs Compared to Non-POHs Fact Sheet
Dobson | DaVanzo recently examined select operating, financial and patient characteristics of hospitals in categories defined by hospital ownership.1 This fact sheet provides descriptive statistics for physician owned hospitals (POHs) compared to non-physician owned hospitals.
Fact Sheet: Majority of Hospital Payments Dependent on Medicare or Medicaid
It is broadly acknowledged that Medicare reimburses hospitals less than the cost of providing care and their reimbursement rates are non-negotiable.
Fact Sheet: Hospital Outpatient Department Billing Requirements
Congress is considering legislation that would change current billing practices for Medicare and the commercial insurance market to require each off-campus hospital outpatient department (HOPD) to be assigned a unique NPI as a condition of payment.
Fact Sheet: Improving Access to Care for Medicare Advantage Beneficiaries
Congressional action is needed to ensure greater oversight of MA plans as these rules are implemented and to enable CMS to enforce existing regulations designed to protect beneficiary access to medically necessary services.
Fact Sheet: 340B Drug Pricing Program Contract Pharmacy Arrangements
Section 340B of the Public Health Service Act requires pharmaceutical manufacturers participating in Medicaid to sell outpatient drugs at discounted prices to health care organizations that care for patients in vulnerable communities.
Fact Sheet: Hospital Impacts from a Per Capita Cap on the Medicaid Expansion Population
A per capita cap on federal Medicaid financing would be a fundamental change to how the program is financed and, specifically, would amount to a substantial cut that would grow over time.
Medicaid Spending Reductions Would Lead to Losses in Jobs, Economic Activity and Tax Revenue for States
The AHA’s analysis reflects the incremental economic impacts of Medicaid cuts across the entire program in each
state, including spending on hospitals, physician offices, specialists and pharmacies.
Rural Hospitals at Risk: Cuts to Medicaid Would Further Threaten Access
The One Big Beautiful Bill Act (H.R. 1) would result in 1.8 million individuals in rural communities losing their Medicaid coverage by 2034. In addition, select Medicaid provisions in H.R. 1 would result in a $50.4 billion reduction in federal Medicaid spending on rural hospitals over 10 years.
Estimated Impact of FMAP Reduction
The table below summarizes the 10-year impact on federal Medicaid hospital spending if the Federal Medical Assistance Percentage (FMAP) were reduced to the traditional level for Medicaid expansion enrollees due to program churn.