By Sam Baker and Elise Viebeck - 12/10/12 10:41 PM EST
Healthwatch has all the details.
Goodbye, Medicaid savings: HHS also took a big deficit-reduction option off the table Monday, saying the Obama administration no longer supports a proposal to combine the various calculations that determine how much the federal government pays for state Medicaid programs. The so-called "blended rate" would have saved the feds about $100 billion over 10 years, but mostly by shifting those costs to the states. Now that HHS is trying to coax states into the Medicaid expansion, it's not a good time to take away existing federal support. Read the Healthwatch story.
MA vs. Medicare: Republicans on the House Ways and Means Committee touted new research finding that utilization rates for emergency departments and other services were 20 to 30 percent lower for people on Medicare Advantage (MA) versus traditional Medicare. The study, published in Health Affairs, concluded that Medicare Advantage enrollees "might use fewer services and be experiencing more appropriate use of services than enrollees in traditional Medicare." Republican Ways and Means staff used this finding to criticize the healthcare law, which cuts MA plans. The memo also called Medicare an "uncoordinated, inefficient and severely outdated program." Read more of the study at Health Affairs.
'Replace' plan: The American Enterprise Institute released a plan for replacing the healthcare reform law if it ever gets repealed. The 59-page document from resident fellow Thomas Miller repeats a series of familiar GOP proposals, including converting Medicare to a premium-support system and block-granting Medicaid. Miller writes that the massive task of implementing the healthcare law could prove too much for health officials, creating an opening for health-law opponents to push for repeal when President Obama leaves office. Healthwatch has more on the report.
Jobs at stake: Medicaid supports about three million healthcare jobs held by women, according to a new analysis by the National Women's Law Center (NWLC). The group urged Congress to remember those jobs as it considers entitlement cuts as part of negotiations over the so-called "fiscal cliff." The NWLC report fund that women hold about 80 percent of Medicaid-supported jobs, and that the program supports the largest number of work positions in New York, California and Texas. Read more at the NWLC.
Reducing readmissions: Safety-net hospitals are 30 percent more likely to have readmission rates above the national average, meaning they are more likely to be affected by the Affordable Care Act's Hospital Readmissions Reduction Program (HRRP). This was the conclusion of a new analysis from the Commonwealth Fund, which recommended several policies hospitals might adopt to avoid high readmissions and, by extension, lower payments. Read more about the recommendations, including quality improvement initiatives and better care coronation, at Commonwealth.
Senate Health, Education, Labor and Pensions Committee Chairman Tom Harkin (D-Iowa) will join other leading Democrats at a press conference on preserving funding for Medicaid. Representatives from major unions and healthcare groups will also speak.
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