Information on health care finance and reimbursement.
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Reductions or leveling in reimbursements, coupled with increasing numbers of uninsured and underinsured, create a difficult environment in which to meet the public's need for adequate, yet affordable health care.
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KanCare: Reinventing Medicaid for Kansas...the vision is to serve Kansans in need with a transformed, fiscally sustainable Medicaid program that provides high-quality, holistic care and promotes personal responsibility.
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The hospital provider assessment, created by the 2004 Legislature, generates revenues from all prospective payment system hospitals inKansas, which are in turn matched with federal Medicaid matching funds. These funds are used to enhance rates to all Kansas hospitals and physicians. The Kansas Hospital Association works closely with the Health Care Access Improvement Panel, which is statutorily created to administer the program, to ensure the funds are distributed appropriately in transparent a manner as possible.
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In the Medicare Inpatient Prospective Payment System Final Rule for 2019, the Centers for Medicare & Medicaid Services requires hospitals to provide a list of their standard charges in machine readable format ( e.g. XML, CSV) as of Jan. 1, 2019. The rule allows hospitals to determine how best to provide a list of their standard charges (their charge master or another form of their choice). The information in this section will assist you with developing and implementing your transparency policies and information.
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The Office of Personnel
Management, along with the departments of Health and Human Services (HHS),
Labor, and Treasury July 1 released “Part 1” of regulations
implementing the No Surprises Act. The interim final rule addresses
several provisions in the law, including the ban on balance billing for certain
out-of-network services (referred to as “surprise medical bills”); the notice
and consent process that some providers may use to bill patients for
out-of-network services; how patient cost-sharing must be calculated; and a
complaint process for any potential violations of the provisions in the law.
Notably, the regulations contain a strong rebuke of health plan actions to deny
coverage of emergency services.
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Section 501(r) of the Internal Revenue Service Code requires 501(c)(3) hospital organizations to meet four general requirements on a facility-by-facility basis. This section of the website will give you a list of resources dedicated to answering your questions on these general requirements, as well as where to turn to if you have questions not answered in this section.
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Heath Care Reimbursement Resources.
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