PPT-Hospital Medicaid Rate Updates

HFMA Seminar February 1 2017 Agenda Hospital Inpatient Medicaid Rate Updates January 1 2016 Rates January 1 2017 Rates Rebasing of Acute and Exempt UnitExempt Hospital Rates Hospital Quality Pool. Mitch Lomax, Saint Agnes Healthcare. Jerry Schmith, Maryland Health Services Cost Review Commission. August 21, 2015. Global Budget/Total Patient Revenue (GBR/TPR) Compliance. 1. GBR/TPR Compliance. Two sets of Price Corridors for GBR and TPR hospitals:. September . 2011. Unplanned readmissions related to the initial stay likely offer the best opportunity for savings and care improvements.. Related to Initial Admission. Unrelated. to Initial Admission. Joan . Alker. and Jack . Hoadley. Georgetown University Health Policy Institute. November 15, 2012. Quick review of ACA structure. Two principal means to achieve near universal coverage. Federal premium tax credits from 100-400% FPL to be used in state or federal exchange; CBO = 20-25 million persons covered. Tips, Tricks and Updates. April 2015. Presented by: Jan Paulsen, Program Officer. Provider Rate change. . During the 64. th. Legislative Session, an estimated 2% provider rate increase was approved. Check the website for a copy of the newest fee schedule, and the newest provider manual reflecting the rate increase and any program changes. This is likely to be implemented effective July1, 2015.. EAPG Implementation. Rate Year 2017. Colorado Department of Health Care Policy & Financing. March 4, 2016. 1. Purpose of Meeting. The Department’s overall objective of this meeting is to continue providing the Colorado hospital community a transparent EAPG implementation process . Addiction and Recovery Treatment Services Benefit. Dr. Katherine Neuhausen. Chief Medical Officer. Virginia Department of Medical Assistance Services. December. . 2016. http://www.dmas.virginia.gov. July 9, 2015 . Welcome. 2. Agenda. 3. Medicaid Policy. Luc Toussaint. Melissa Eddleman. Erica Floyd-Thomas. 4. Medicaid Help Line. Medicaid recipients and providers can call . (877. ) . 254-1055. . to ask . July 9, 2015 . Welcome. 2. Agenda. 3. Medicaid Policy. Luc Toussaint. Melissa Eddleman. Erica Floyd-Thomas. 4. Medicaid Help Line. Medicaid recipients and providers can call . (877. ) . 254-1055. . to ask . 7:30 - 8: 20 a.m. Registration & Breakfast/visit with vendors 8: 20 - 8 - 30 a.m. Welcome and Introductions 8:30 9 :30 a.m. “ OSU Wexner Medical Center/Franklin County Guardianship Service Bo DHMH Presentation:. Maryland Medicaid Advisory Committee July 2011. 2. 2. National data taken from the Kaiser Family Foundation, . Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2010 and 2011, September 2010.. Medicaid Managed Care Capitation Rate SettingOver the last 30 years, stateshave increasingly turned tomanaged care to deliver Medicaid services. The share of Medicaid beneficiaries enrolledin a compre BILLING AND POLICY MANUAL Inpatient Hospital Services U PDATED December 21 PAGE | 1 INPATIENT HOSPITAL SERVICES E LIGIBLE P ROVIDERS In order to receive payment, a ll eligible billing provider ’ September . 2011. Unplanned readmissions related to the initial stay likely offer the best opportunity for savings and care improvements.. Related to Initial Admission. Unrelated. to Initial Admission. Midpoint of high and low coverage loss estimates. * States that expanded Medicaid under the Affordable Care Act.. Data: Dobson . DaVanzo. simulation of the impact of Medicaid work requirements on hospitals using the Hospital Financial Simulation...