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Fact Sheet: Medicaid Hospital Payment Basics

AHA urges Congress to reject reductions to hospitals’ Medicaid payments.

‘Back to the basics with innovation’

2025 ASHE President Michael Hatton offers an alternative to the 'always-done-it-this-way' approach
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Fact Sheet: Rural Hospital Support Act (S. 335) and the Assistance for Rural Community Hospitals Act

Medicare pays most acute-care hospitals under the inpatient prospective payment system (IPPS). Some of these hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume.These programs are Medicare- dependent Hospitals (MDHs), Low-volume Adjustment (LVA) and Sole Community Hospitals (SCHs).
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Fact Sheet: Per Capita Caps in the Medicaid Program

A per capita cap to federal financing of the Medicaid program would be a fundamental change to how the program is financed. It would put untenable fiscal pressures on state governments, leading to Medicaid coverage, enrollment and provider reimbursement cuts.

Advocacy Issue: Medicaid DSH Payment Cuts

The Medicaid Disproportionate Share Hospital (DSH) program provides essential financial assistance to hospitals that care for our nation’s most vulnerable populations — children, impoverished, disabled and elderly. The Medicaid DSH payment reductions are scheduled to be implemented on April 1, 2025, when $8 billion in reductions take effect.

Advocacy Issue: Hospital-at-Home Waivers

The hospital-at-home (H@H) model — where patients receive acute-level care in their homes, rather than in a hospital — has emerged as an innovative and promising approach to providing high-quality care to patients in the comfort of their homes. Congressional action is needed to extend the waivers for this program, which are set to expire March 31, 2025.

Taking the Lead in Developing the Health Care Leaders of Tomorrow

The AHA Next Generation Leaders Fellowship focuses on developing leaders and empowering them to bring about real and lasting change in the hospitals and health systems in which they serve, as well as our field overall.

Study explores impact of race, rurality on HAIs

Structural racism and disinvestment in rural communities could affect individual health care-acquired infection risk and outcomes, concludes a JAMA Network Open study.

Financing Sustainability through the Inflation Reduction Act: Making the Case

In August 2022, the Inflation Reduction Act (IRA) was enacted, offering tax incentives and funding mechanisms typically unavailable to tax-exempt organizations, including non-profit health care. This webinar will feature panelists who will advocate for utilizing IRA incentives. They will provide an overview of the available credits and grants, present the legal perspective on using these incentives, showcase a provider experienced in working with non-profit organizations on successful project implementation, and highlight a case study of an organization that has effectively leveraged IRA funding with the help of legal and financial partners.

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