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    Subject Term: "Nonprofit hospitals"

    1 publication with a total of 1 open recommendation including 1 priority recommendation
    Director: Katherine Iritani
    Phone: (202) 512-7114

    1 open recommendations
    including 1 priority recommendation
    Recommendation: To ensure efficient use of federal resources, the Administrator of CMS should account for Medicaid payments a hospital has received that offset uncompensated care costs when determining hospital uncompensated care costs for the purposes of making Medicare UC payments to individual hospitals.

    Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
    Status: Open
    Priority recommendation

    Comments: The Centers for Medicare & Medicaid Services (CMS) concurred with this recommendation in June 2016, but stated in December 2017 that it was unclear whether it was appropriate to account for Medicaid uncompensated care payments that hospitals received when determining uncompensated care costs for purposes of making Medicare Uncompensated Care payments. GAO maintains that accounting for Medicaid payments when determining hospital uncompensated care costs is needed. Without accounting for the payments, CMS is at risk of making Medicare uncompensated care payments to hospitals that do not have any uncompensated care costs.