The 2019 budget requests hits insurer and payer hot spots including ACA Medicare risk corridor payments and cost-sharing reductions, uncompensated care payments, Medicare post-acute care costs and even graduate medical education.
Trump’s proposal outlines his administration’s priorities – Congress makes the decisions.
Budget proposals of interest include:
- Eliminates Medicaid expansion and ends ACA subsidies beginning 2021
- Medicaid transformed into a block grant or per-person cap
- Medicare spending is reduced by $236 billion over the next decade
- $5 billion in funds over 5 years to fight opioid epidemic
- Simplify MIPS in FY2021 – Assess performance on groups only – alters how 5% bonus is paid
- The Department of Health and Human Services gets a YOY boost of $9.4 billion in 2019 or a total of $96.5B.
- Medicare changes designed to bring $490 billion in savings over a decade
- Minimum level of charity care needed for payment adjustment under 340B drug program
While supporting the administration’s efforts to combat rising drug prices and infrastructure investments, The American Hospital Association said,
America’s hospitals and health systems believe that the federal budget should not weaken our national commitment to provide access to quality hospital and health system services that provide a lifeline for our patients and communities.
Read the entire statement from AHA on the President’s budget
Learn more in Healthcare Dive
Read about more details from Reuters
Great calculator to see the impact on various government agency budgets at The Washington Post