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As of February 9, 2020, there are 4958 open recommendations, of which 422 are priority recommendations. Recommendations remain open until they are designated as Closed-implemented or Closed-not implemented.
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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: HHS concurred with this recommendation. However, in December 2017 and October 2018, HHS indicated that it was reconsidering whether to offset Medicare UC payments by Medicaid's uncompensated care payments. CMS had earlier noted that there are differences in how Medicare and Medicaid define uncompensated care. Although Medicare and Medicaid programs define uncompensated care costs somewhat differently, a common and significant cost in their definitions is the uncompensated care costs for uninsured individuals. We continue to believe that CMS should account for Medicaid payments when determining hospital uncompensated care costs. Without accounting for such payments, CMS is at risk of making Medicare uncompensated care payments to hospitals that do not have any uncompensated care costs.