A new GNYHA video series, “Hospitals for Healthier Communities,” highlights hospital partnerships with community-based organizations. To mark National Childhood Obesity Prevention Month (September), GNYHA highlights NewYork-Presbyterian Hospital’s partnership with GrowNYC and La Puerta Estrecha to address food insecurity in their Washington Heights/Inwood community through the NYP Youth Market.

The Centers for Medicare & Medicaid Services (CMS) recently released a corrections notice for the Medicare inpatient prospective payment system (IPPS) final rule for Federal fiscal year (FY) 2020, which began October 1, 2019. This bulletin addresses the final FY 2020 payment rates, wage index policies, uncompensated care pool (UCP) distributions, changes to the complications…

GNYHA has developed this Fiscal Year 2020 final Medicare Disproportionate Share Hospital (DSH) Uncompensated Care estimates for GNYHA members. This file provides Centers for Medicare and Medicaid Services’ finalized Fiscal Year (FY) 2020 DSH uncompensated care payments, the derivation of those payments, and GNYHA’s projections through FY 2027. Payments and projections are based on data…

GNYHA has developed this facility-specific inpatient prospective payment system (IPPS) payment estimator for GNYHA members. This workbook provides estimates of Fiscal Year (FY) 2019 (final) and FY 2020 (final) inpatient prospective payment system (IPPS) payments based on publicly available files. References to all data sources are available in the attached table. To use the calculator,…

GNYHA has developed this fiscal year (FY) 2020 final inpatient prospective payment system calculator for GNYHA members. This workbook provides estimates of the FY 2020 inpatient calculation, new technology add-on payment, outlier calculation, and transfer payment calculation based on publicly available files. References to data sources are available in the table.

GNYHA hosted The Schwartz Center for Compassionate Healthcare’s Facilitation Workshop on October 15 and 16. More than 65 health care providers from across the nation—including 37 GNYHA member hospitals that are actively engaged Schwartz Center members—attended. The workshop included sessions on What is Compassionate Care? and Essential Schwartz Rounds Facilitation Skills, with Orange Regional Medical…

The New York State Department of Health (DOH) issued guidance on October 16 addressed to hospital chief executive officers on requirements for all hospitals, including non-trauma centers, to submit data to the New York State Trauma Registry. The New York Code of Rules and Regulations Title 10, Section 405.45 (f), states: “Each designated trauma center,…

New York Governor Andrew Cuomo has signed into law the amended dispute resolution bill (A8404/S6544a) passed by the Legislature in June. The law, which will be effective January 1, 2020, subjects out-of-network emergency hospital bills to an independent dispute resolution (IDR) process. The law also requires insurers to increase a hospital’s payment rate by 25%…

2018 DSH Model Recast The New York State Department of Health (DOH) recently recast the 2018 disproportionate share hospital (DSH) Indigent Care Pool (ICP)/Upper Payment Limit (UPL) swap model. This recast applied the 2015 DSH caps—the initial model was based on the 2014 caps. The recast also split the UPL distribution between inpatient and outpatient,…

The New York State Department of Health (DOH) recently recast the 2018 disproportionate share hospital (DSH) Indigent Care Pool (ICP)/Upper Payment Limit (UPL) swap model. This recast applied the 2015 DSH caps—the initial model was based on the 2014 caps. The recast also split the UPL distribution between inpatient and outpatient, and applied the UPL/ICP…

The New York State Department of Health (DOH) has released the Medicaid acute care rate packages for January 1, 2019, and April 1, 2019. The January 1, 2019, fee-for-service (FFS) and managed care (MMC) rate packages include the following adjustments: They continue to include the Health Care Transformation Fund (HCTF) 2% hospital Medicaid inpatient rate…