Tuesday, May 31, 2016
1012 C Street  •  Floresville, TX 78114  •  Phone: 830-216-4519  •  Fax: 830-393-3219  • 

WCN Site Search


Preview the Paper Preview the Paper

Preview this week's Paper
A limited number of pages are displayed in this preview.
Preview this Week’s Issue ›
Subscribe Today ›

Lost & Found

Looking for lost dog in Eagle Creek. Name LUKA, although his tag says Amigo. He's a black Labrador retriever. Aprx 1 1/2yrs old. Missing since May 24th
lost dog in Eagle Creek. Name LUKA, although his tag says Amigo. He's a black Labrador retriever. Aprx 1 1/2yrs old. Missing since May 24th. Please call (210)389-9047.

VideoLost: German mix, male, tip of one ear missing, micro chipped, last seen with blue collar and blue bone tag with name and house number. Call if found, 830-779-2512.
More Lost & Found ads ›

Help Wanted

*Fair Housing notice. All help wanted advertising in this newspaper is subject to the Fair Housing Act which makes it illegal to advertise "any preference limitation or discrimination based on race, color, religion, sex, handicap, familial status, or national origin, or an intention, to make any such preference limitation or discrimination." This newspaper will not knowingly accept any advertising for help wanted ads, which is in violation of the law. Our readers are hereby informed that all dwellings advertised in this newspaper are available on an equal opportunity basis.
Childcare Ministries of La Vernia United Methodist Church is taking applications for an after school teacher and Pre-K extend teacher, childcare experience preferred not required, CPR training is a plus. Call Childcare Ministries, 830-779-5117 for more information.
More Help Wanted ads ›

Featured Videos





Video Vault ›

Commentaries


OIG Urges Decertification of 849 Medicare Critical Access Hospitals




E-Mail this Story to a Friend
Print this Story

Disclaimer:
The author of this entry is responsible for this content, which is not edited by the Wilson County News or wilsoncountynews.com.
August 18, 2013 | 2,409 views | Post a comment

About two-thirds of the more than 1,300 Critical Access Hospitals (CAHs) providing healthcare services to rural Medicare beneficiaries would lose their enhanced Medicare funding if a proposal by the Health & Human Services Department's Office of Inspector General (OIG) becomes federal policy.

In a just-released report, the OIG presses the Centers for Medicare & Medicaid Services (CMS) to ask Congress for statutory authority to decertify some 849 hospitals as CAHs, a move OIG contends would annually save the government hundreds of millions of dollars.

Here's How the Certification Works

The CAH certification is used as a tool to ensure rural Medicare beneficiaries are able to access hospital services. Medicare reimburses CAHs at 101% of their reasonable costs, rather than at the rates set by prospective payment systems or fee schedules.

Current CMS policy permits hospitals to be certified as CAHs if they meet several requirements, including being located at least a certain driving distance from other hospitals (including other CAHs) and being located in rural areas. These two requirements are known as the "distance requirement” and the "rural requirement,” respectively. Prior to 2006, states could exempt CAHs from the distance requirement simply by designating them as "necessary provider” (NP) CAHs, thus rendering them permanently exempt from the requirement.

Obama Plants the Seed of an Idea

President Obama in September 2011 published his Plan for Economic Growth and Deficit Reduction, which included a proposal to reduce CAH reimbursements to 100% percent of reasonable costs and eliminating the critical access certification for CAHs fewer than 10 miles from another hospital.

The president's proposed budget for FY 2014 made the same recommendations and estimated the savings over 10 years to be $1.4 billion from reducing reimbursement to 100% of reasonable costs (from 101%) and $690 million from eliminating the critical access certifications of CAHs located fewer than 10 miles from another hospital.

Targeted CAHs Serve 1.2 Million Beneficiaries

In OIG's just-released report, analysts found nearly two-thirds of CAHs -- collectively providing healthcare services to about 1.2 million Medicare beneficiaries -- would not meet the location requirements if required to re-enroll in the CAH program. The vast majority of these CAHs would not meet the distance requirement.

CMS does not have the authority to decertify most of these CAHs, as most of them are NP CAHs. However, if Congress authorized CMS to reassess whether all CAHs should maintain their certifications and CMS ultimately concluded that some should be decertified, the Medicare program and its beneficiaries would realize substantial savings, the OIG says.

For example, if CMS had decertified CAHs which were 15 or fewer miles from their nearest hospitals in 2011, Medicare and beneficiaries would have saved $449 million in co-payment charges, OIG says.

To access the OIG report, go to www.cdpublications.com/docs/7075 and click on the provided link.
 
‹ Previous Blog Entry
 

Your Opinions and Comments


Be the first to comment on this story!


You must be logged in to post a comment.




Not a subscriber?
Subscriber, but no password?
Forgot password?

Commentaries Archives


Commentaries
Commentaries page govtrack.us
Commentaries who represents me?
Allstate & McBride RealtyTriple R DC ExpertsHeavenly Touch homeVoncille Bielefeld home

  Copyright © 2007-2016 Wilson County News. All rights reserved. Web development by Drewa Designs.