Interview
Behind the White Coat: The Learning Environment at the Libertas Center for Human Rights

NYC Health + Hospitals is the largest public health care system in the United States, and their facility in Elmhurst, Queens serves one of the nation’s most ethnically and linguistically diverse neighborhoods. NYC Health + Hospitals/Elmhurst’s medical residents come from near and far to train in one of their seven residency programs. In this edition…

July 11, 2018
Stethoscope Icon
Pinned
Tool
2017 Annual Report: GNYHA Emergency Preparedness Initiatives and Activities

GNYHA released its Emergency Preparedness Initiatives and Activities: 2017 Annual Report, which details trainings and programs covering various emergency preparedness topics; collaborative workgroups that addressed complex issues; and our monthly Emergency Preparedness Coordinating Council, during which GNYHA, government response partners, and hospital and health system emergency managers from across the region gather to discuss various…

May 30, 2018
Emergency Icon
Pinned
News
GNYHA-Supported Lawsuit Challenges HHS’s Liver Distribution Policies; LiveOnNY Under Threat as GNYHA Helps Build Members’ Capacity for Organ Donation

I’m writing to update you on two important organ transplantation-related issues: a GNYHA-supported lawsuit challenging Federal liver distribution policies, and GNYHA’s organ donation advocacy in the context of the status of the organ procurement organization (OPO) LiveOnNY. GNYHA-Supported Lawsuit Challenges HHS’s Liver Distribution Policies A lawsuit was filed today against the Department of Health and…

July 13, 2018
Legal Icon
News
NYS Medicaid Acute Care Rate Rebasing Preliminary Schedules Released; Appeals Due August 1

The New York State Department of Health (DOH) released a “Dear Administrator Letter” (attached), along with preliminary rate schedules for the July 1, 2018, acute care rebased rates for Medicaid fee-for-service, Medicaid managed care, and Workers’ Compensation/No-Fault. Hospitals have until August 1 to submit appeals to DOH. Appeals are limited to mathematical or clerical errors;…

July 13, 2018
Finance Icon
News
2015 DSH Model Recast

The New York State Department of Health (DOH) has recast the 2015 disproportionate share hospital (DSH) Indigent Care Pool (ICP)/Upper Payment Limit (UPL) distribution model (file attached). This was done to incorporate data corrections based on the final audited 2015 Institutional Cost Reports, and to process outstanding hospital appeals. The changes have positive and negative…

July 13, 2018
Finance Icon
Tool
2015 Medicaid DSH Distribution Model

The attached 2015 Medicaid DSH Distribution Model provides members with the calculation of the 2015 Medicaid DSH (ICP and UPL) distributions. This is the June 2018 recast, which includes data corrections based on final audited 2015 ICRs, outstanding appeals, and the reallocation of $22M from ICP to outpatient UPL.

July 11, 2018
Finance Icon
News
CMS Requirement for Enrollment of Residents in PECOS

The Centers for Medicare & Medicaid Services (CMS) recently released information on the requirements for residents in training programs to enroll in the Provider Enrollment Chain and Ownership System (PECOS). PECOS is the system used for authorized billing and non-billing providers to submit and manage enrollment information for Medicare. Both licensed and unlicensed residents in…

July 11, 2018
Stethoscope Icon
News
OMH Guidance on Mental Health Reporting Provisions of the NY SAFE Act

In the wake of several tragic national incidents involving firearms, GNYHA is writing to remind members of a reporting mandate for certain mental health practitioners that is required by the New York Secure Ammunition and Firearms Enforcement (NY SAFE) Act, which was enacted in 2013. NY SAFE Reporting Provisions NY SAFE added new Section 9.46…

July 11, 2018
Legal Icon
Tool
Value-Based Payment Fundamentals: A Guide to New York State Medicaid VBP Presentation

GNYHA developed the attached presentation as a training tool to accompany its curriculum, Value-Based Payment Fundamentals: A Guide to New York State Medicaid Value-Based Payment. Delivery System Reform Incentive Payment program performing provider systems can adapt the slides or use them as posted as they continue educating primary care, behavioral health, and community-based organization partners…

July 5, 2018
Community Icon