With Medicare and Medicaid providing more than half of most hospitals’ patient revenue, any changes to either of these government-sponsored programs have a significant impact on hospitals.
THA is working to protect Medicaid payments by urging the Centers for Medicare & Medicaid Services (CMS) to withdraw a harmful proposal that would limit total amounts available under directed payment programs and restrict states’ ability to draw down federal Medicaid dollars.
CMS’s proposed rule – called Medicaid and CHIP Managed Care Access, Finance, and Quality – is the agency’s latest attempt to restrict permissible financing in Medicaid programs in a similar fashion as its roundly maligned Medicaid Fiscal Accountability Regulation (MFAR), which was eventually withdrawn.
Texas Democratic Delegation Letter to CMS re: Medicaid Financing Rule
With THA’s support, eight Texas Democrats in the U.S. House of Representatives signed on to a letter asking CMS for reconsideration of the rule.
Texas Republican Delegation Letter to CMS re: Medicaid Financing Rule
With THA’s support, all 25 Texas Republicans in the House signed on to a letter asking CMS to reconsider the harmful rule.
Federal Rule Would Upend Patient Care
Read THA’s white paper on the proposed federal rule to restrict states’ ability to draw down federal dollars.
THA Comment Letter Opposing Elements of the Rule
Read THA’s June 2023 comment letter opposing aspects of the proposed CMS rule.
Proposed CMS Rules Could Cost Texas $6 Billion Per Year
Read Texas Health and Human Services’ overview of the proposed CMS rule.
Hospital Financing 101
Watch THA’s video that describes the basic foundation of Medicaid and hospital financing.
Hospital Financing 101 Part Two
Watch THA’s video about issues relating to Medicaid payment programs for Texas hospitals.