San Bernardino Mountains Community Hospital District Issues Public Comment on Centers for Medicare & Medicaid Services Proposed Rule
* * *
The Hospital is owned and operated by the
We ask CMS to withdraw the proposed rule because:
* CMS has not conducted the required analysis of how the rule would impact access to care and quality.
* CMS has overstepped its authority by proposing broad discretion with no clear criteria for decision making.
* It puts pressure on our local community to increase taxes to fill the gap created by funding shortages.
Most concerning to
The District operates a
See tables here (https://www.regulations.gov/contentStreamer?documentId=CMS-2019-0169-2975&attachmentNumber=1&contentType=pdf)
Our Mission Statement is as follows:
"
For services that we cannot perform, we rely on the
State flexibility in funding the non-federal share of Medicaid is essential in making the
Due to the high percentage of Medicare and MediCal (78%) we normally have an operating loss which is somewhat offset by a parcel tax that the residents of the district pay.
In recent years, MediCa1 has allowed us to utilize various reimbursement methods to obtain reimbursement which is close to but not covering our costs.
Historically the Affordable Care Act has allowed us to help our patients to enroll in MediCal. Such enrollment has nearly eliminated self pay (which really turns out to be "no pay" or bad debts) and made MediCal our largest "insurer.
If we were to have a significant reduction in MediCal coverage and related reimbursement, the revenue shortfall would be disastrous to the well-being of the residents of our mountain community as well as to our operations. We would have to trim, or even cut out essential services and as a
The current proposals far exceed the agency's statutory authority. Additionally, we are extremely concerned with the adverse impact that the proposed rule's administrative requirements will have on CMS and Medicaid agencies. The provisions outlined in the proposed rule are excessive and will cost the state of
Further, CMS proposal to limit intergovernmental transfers to state or local taxes will create additional pressure on counties and states that rely on these arrangements. In
* * *
The proposed rule can be viewed at: https://www.regulations.gov/document?D=CMS-2019-0169-0001
TARGETED NEWS SERVICE (founded 2004) features non-partisan 'edited journalism' news briefs and information for news organizations, public policy groups and individuals; as well as 'gathered' public policy information, including news releases, reports, speeches. For more information contact
Ross mulls future of run-down fire station
Friendship Village Tempe Issues Public Comment on Centers for Medicare & Medicaid Services Proposed Rule
Advisor News
Annuity News
Health/Employee Benefits News
Life Insurance News