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On March 13, 2020, the Centers for Medicare & Medicaid Services (CMS) published a fact sheet that outlines the impacts to healthcare providers from President Trump’s national emergency declaration. CMS is empowered to take proactive steps through 1135 waivers and rapidly expand the Administration’s aggressive efforts against COVID-19.
Overall, these regulatory changes are focused on addressing the potential shortage of beds needed to address the infected population. It appears that excess patient load may now be pushed into any available bed, including post-acute care settings by waiving patient and facility requirements. These changes appear to be effective immediately.
For more information regarding CMS Current Emergency response and issuances, use the link below:
Toyon’s Take on Hospital Charity Policies During the Emergency
As demand increases, providers should prepare for an influx of patients who are underinsured with high deductible health plans, or one of over 27 million Americans without health coverage. As hospitals care for these patients, it is important any corresponding patient discounts are specified in the patient financial assistance policy (FAP). If providers are loosening FAP requirements for care related to COVID-19 testing or treatment, it is recommended the FAP is updated to include this coverage. Specification in the FAP allows for uncompensated care cost recognition and payment for DSH providers.
Toyon is committed to keeping providers informed and will continue to send important updates as they unfold.
Respectfully,
Toyon Associates, Inc.
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