Post on 29-May-2020
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Save Rural Hospitals Act
Rural hospital stabilization (Stop the bleeding)! Elimination of Medicare Sequestration for rural hospitals;! Reversal of all “bad debt” reimbursement cuts (Middle Class Tax Relief and Job Creation Act of 2012);
! Permanent extension of current Low-Volume and Medicare Dependent Hospital payment levels;
! Reinstatement of Sole Community Hospital “Hold Harmless” payments; ! Extension of Medicaid primary care payments;! Elimination of Medicare and Medicaid DSH payment reductions; and! Establishment of Meaningful Use support payments for rural facilities struggling.! Permanent extension of the rural ambulance and super-rural ambulance payment.
Rural Medicare beneficiary equity. Eliminate higher out-of pocket charges for rural patients (total charges vs. allowed Medicare charges.)Regulatory Relief! Elimination of the CAH 96-Hour Condition of Payment (See Critical Access Hospital Relief Act
of 2014);! Rebase of supervision requirements for outpatient therapy services at CAHs and rural PPS
See PARTS Act); ! Modification to 2-Midnight Rule and RAC audit and appeals process.
Future of rural health care (Bridge to the Future)!""#$%&'#"()#*+,(-#.(./.%,(0#12'&%,1(30#(4#"&'"/+(&#(1&./55,+6((
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This model is based upon the three key elements of the Community Outpatient Hospital reimbursement structure: 105% of reasonable costs reimbursed, exemption from 2% sequestration, and 100% of bad debt reimbursed (not inclusive of grant funding). Modeled impact reflects revenue, jobs and GDP preserved across all 1,654 eligible providers (rural hospitals with no more than 50 beds) that would financially benefit from conversion to the proposed provider status.
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26 seats up for election in 2018 are held by Democrats and Independents out of a total of 34
2018 MIDTERM ELECTIONS
May 17, 2018 | Madelaine Pisani
States with U.S. Senate seats up for election
Sources: Charlie Cook, “Will History Hold in 2018 Midterms?” The Cook Political Report, January 9, 2017, National Journal Research, 2017.
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2018 COOK SENATE RANKINGS
Senate seats in play, by election year
Democrats, Republicans will take turns playing defense in upcoming elections
Source: The Cook Political Report, 2017.
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Control of the Senate will depend on the eight “toss up” seats
2018 COOK SENATE RANKINGS
May 17, 2018 | Madelaine Pisani
THE COOK POLITICAL REPORT
Breakdown of 2018 Senate races
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!"May 17. 2018 | Daniel Stublen
HOUSE 2018 RACES
Democrat held seats Republican held seats
COMPETITIVE 2018 HOUSE RACESCook Political Report ratings
The House…House Republicans are defending many more vulnerable seats
Source: Cook Political Report.
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