The Federation of American Hospitals is calling for changes to the Defense Department's Tricare's transition to prospective payment methods, arguing that the current plan could cause a 25 percent cut in payments in the first year alone.
The transition is intended to move Tricare as close as possible to Medicare's prospective-payment system. Tricare has been on the Medicare fee schedule since the early 1990s, so this would be a big change.
FAH is not the only one calling for adjustments in the transition plan to make it gentler for hospitals. Last month 57 senators signed a letter calling for a "robust transition" that covered all services. Currently the only services eligible for higher transitional payments are emergency room and clinic visits.
To learn more about the uproar:
- read this Modern Healthcare piece [1]
Related Articles:
NY hospital will pay $89M to settle False Claims Act claims [2]
President says he'll veto bill stopping Medicare cuts [3]
Common assumptions about uninsured ED users are false, says study [4]
Links:
[1] http://www.modernhealthcare.com/apps/pbcs.dll/article?AID=/20081208/REG/312089965
[2] http://www.fiercehealthcare.com/story/ny-hospital-will-pay-89m-settle-false-claims-act-claims/2008-09-16
[3] http://www.fiercehealthcare.com/story/president-says-hell-veto-bill-stopping-medicare-cuts/2008-07-11
[4] http://www.fiercehealthcare.com/story/common-assumptions-about-uninsured-ed-users-are-false-study/2008-10-23?utm_medium=rss&utm_source=rss&cmp-id=OTC-RSS-FH0