The Medicare Payment Advisory Commission, as expected, has voted to recommend that Congress should start phasing in a new way of distributing extra Medicare payments to safety net hospitals that disproportionately serve low-income and/or uninsured beneficiaries.
The proposal that MedPAC endorsed on Jan. 12 does not address the 340B program directly. If Congress adopts it, however, it will replace Medicare disproportionate share (DSH) payments and uncompensated care payments to hospitals with new Medicare safety net index (SNI) payments calculated differently. The transition to Medicare SNI payments would begin during the next fiscal year that starts Oct. 1. Congress could adopt, adapt, or take a pass on the recommendation.
The Medicare Payment Advisory Commission, as expected, has voted to recommend that Congress should start phasing in a new way of distributing extra Medicare payments to safety net hospitals that disproportionately serve low-income and/or uninsured beneficiaries.
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