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The statute defines participating hospitals as those that accept payment from the Department of Health and Human Services', Centers for Medicare and Medicaid Services (CMS) under the Medicare program. [2] Because there are very few hospitals that do not accept Medicare, the law applies to nearly all hospitals.
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
The introduction of Medicaid and Medicare had helped hospitals shoulder the burden of providing care to poverty-level and elderly patients, but the many people in the United States without health insurance were still vulnerable to inappropriate patient transfer or dumping. [5]
For any facility that has a contract with CMS, failing to meet one or more of the federal regulations for participation in Medicare and Medicaid initiates a 90-day termination process for ...
The alternate special exception method is for urban hospitals with more than 100 hospital beds that can demonstrate that more than 30 percent of their total net inpatient care revenues, other than Medicare or Medicaid, come from state and local government sources for indigent care, such as for medically indigent adults. [citation needed]
Hospital readmission rates were formally included in reimbursement decisions for the Centers for Medicare and Medicaid Services (CMS) as part of the Patient Protection and Affordable Care Act (ACA) of 2010, which penalizes health systems with higher than expected readmission rates through the Hospital Readmission Reduction Program.
Drug prices, Obamacare, abortion, and Medicaid are among the healthcare issues Kamala Harris and Donald Trump have starkly different stances on during the 2024 presidential election.
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