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MRI/GAP Plan Payments (March 2021)
Cumulative Risk Analysis (March 2021)
Managed Care Analysis (March 2021)
Managed Care Information (updated June 2021)
Medicaid Expansion 1-year Impact Analysis (March 2021)
Update: HHS announced the distribution of $10 billion in CARES Act Provider Relief Funds to certain Safety Net hospitals that serve a disproportionate number of Medicaid patients or provide large amounts of uncompensated care. According to the HHS announcement, hospitals qualifying for this funding pool will have:
· a Medicare Disproportionate Payment Percentage of 20.2% or greater;
· average uncompensated care of $25,000 or more per bed — for example, a hospital with 100 beds would need to provide $2,500,000 in uncompensated care in a
year to meet this requirement; and
· profitability of 3% or less, as reported to CMS in the hospital’s most recently filed cost report.
Updated June 11, 2020
Updated May 11, 2020.
Updated April 26, 2020.
On March 27, 2020, Congress responded to the COVID-19 emergency by adopting the Coronavirus Aid, Relief, and Economic Security Act (CARES Act). The act provides financial relief and resources to hospitals impacted by the public health emergency. This analysis indicates how existing Medicare provider payments will be affected by the CARES Act legislation.
Updated April 2020.
Critical Access and Small and Rural Hospitals PPS Databook
The Critical Access and Small Rural Prospective Payment System (PPS) Hospitals DataBook is intended to provide hospitals with a comprehensive and comparative review of:
- Medicare inpatient utilization
- Medicare outpatient utilization
- Financial indicator performance
- Quality performance.
Updated November 2020.
This analysis is intended to provide CAHs with an estimate of their performance potential under a scenario for the CAH VBP program that closely resembles the one currently in place for IPPS hospitals. The reports in this analysis estimate VBP scores and impacts for CAHs, and provide full detail on how the points and scores for each quality measure and quality domain are calculated.
Updated September 2020.