Part of the cost-savings in the House reconciliation bill would come from reducing the amount of disproportionate share hospital (“DSH”) payments Medicare makes to hospitals that serve a disproportionate number of low income people.

As enacted by the Senate, the health reform bill replaces the existing DSH adjustment Continue reading ‘Changes to Medicare DSH adjustment’


The House reconciliation bill sweetens appropriations for community health centers to the tune of $2.5 billion over the next five years.

Total appropriations will be —

  • $1 billion for federal fiscal year 2011
  • $1.2 billion for 2012
  • $1.5 billion for 2013
  • $2.2 billion for 2014
  • $3.6 billion for 2015

For more of what this means for the expansion of access to primary care, see Expansion of primary care – community health centers, which I posted in January.


I’ve added a link to the new 153-page House reconciliation bill.  See it here.  I’ve also updated the House tab and added a Table of Contents for the new bill.  Watch here for substantive commentary on its provisions.


See this post in The Hill for current status of the reconciliation bill in the House of Representatives.


The Kaiser Family Foundation has published a table that compares the provisions in the House- and Senate-passed  bills and in President Obama’s recent proposal.  You can download it here.

For just the key provisions affecting Medicare program, see this link.


Note:  The provisions discussed below were not included in the final legislation.

The White House summary of  new proposed measures to “crack down on waste, fraud and abuse” include a number of provisions from H.R. 3970, the “Medical Rights and Reform Act” sponsored by Representative Mark Kirk (R-IL) and 12 Republican co-sponsors.

One of these  proposals is  already included in the House and Senate bills; it would establish provider screening and other enrollment requirements.

Provisions of H.R. 3970 not already included in the bills already adopted by one or both houses would: Continue reading ‘Anti-fraud provisions in White House proposal’


The new health reform law signed by President Obama on March 23, 2010 includes a requirement that billing agents, clearinghouses, and any other alternate payee that submits Medicaid claims on behalf of a healthcare provider, must register with the State and Secretary of HHS “in a form and manner specified by the Secretary.”

UPDATE 3/23/10 – The proposal discussed in the balance of this article was not included in legislation enacted by Congress and signed by the President.

The health reform proposal just posted on the White House website would go farther by Continue reading ‘Stricter supervision of Medicare billing agencies’


The President’s new health insurance reform proposal is now posted on the White House website.  The post provides summaries of the provisions, but does not include proposed statutory language.


Update

29Jan10

HealthReformStat is on hiatus while awaiting political developments.  If and when it appears likely that health reform legislation has a reasonable chance of being enacted, I will resume these posts.

Jennifer Stiller


The Commonwealth Fund has developed interactive tables for side-by-side comparisons of the system reforms and insurance coverage provisions in the two health reform bills.  After clicking on the link, check the box for the House bill or the Senate bill (both if you want to see a comparison), then click on the subject matter that interests you.  You can also view a complete printable table comparing the bills’ provisions on all the listed topics.



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