The fiscal 2018 proposed state budget that Gov. Gina M. Raimondo released Jan. 19 includes the elimination of upper payment limit payments, which are federal funds used to ensure that Medicaid reimburses hospitals at an amount equal to Medicaid, as well as Medicaid payment reductions and reduced payments to inpatient mental health providers.
Integra Community Care Network LLC and Lifespan Health Alliance each are participating in specific Accountable Care Organization models through the Centers for Medicare & Medicaid, according to the organizations.
The state’s top health insurance regulator is urging Congress not to change the framework of the Affordable Care Act, saying its repeal would harm systemic changes happening in Rhode Island and stall momentum made toward making health care and health insurance more affordable.
Repealing the Affordable Care Act without a replacement would increase the number of uninsured people by 32 million and double premiums by 2026, the nonpartisan Congressional Budget Office said in a report that will add pressure on Republicans’ contentious efforts to end the law.
In December, the Centers for Medicare & Medicaid Services announced that 769 hospitals will see their Medicare payments reduced by 1 percent, after all other adjustments have been made, for patient discharges occurring during fiscal year 2017 due to the hospitals’ high rates of hospital-acquired conditions, such as infections.