Managed Care

 

Most Hospitals In '99 Will Get Medicare Hikes

MANAGED CARE September 1998. © MediMedia USA
Washington Initiatives

Most Hospitals In '99 Will Get Medicare Hikes

MANAGED CARE September 1998. ©1998 Stezzi Communications
Washington Initiatives

Most acute-care hospitals that participate in Medicare will receive a 0.5-percent increase in their base payment rate in fiscal 1999, though some 360 acute-care hospitals will see a 0.8-percent increase. Most of the latter group are hospitals that lost money on Medicare patients during the last three years, and as per the Balanced Budget Act, this largely inner-city group will receive larger increases.

For most hospitals, Medicare has been very, very good. According to the Medicare Payment Advisory Commission, profit margins for hospitals this fiscal year were almost 16 percent — the highest since Medicare instituted its prospective-payment system almost 15 years ago.

The Department of Health and Human Services estimated the fiscal 1999 inflation rate, also known as the hospital "market basket," to be 2.4 percent for goods and services purchased by prospective payment system hospitals, sole community hospitals and Medicare-dependent rural hospitals. The Balanced Budget Act held Medicare increases in fiscal '99 to 1.9 percent below market basket. For hospitals excluded from the prospective-payment system, Medicare increases will be between zero and 2.4 percent.

Meetings

Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014