In a June 2017 study for The Commonwealth Fund, Al Dobson, Randy Haught and Joan DaVanzo estimated the financial impact of the Medicaid provisions in the American Health Care Act (AHCA) on safety-net hospitals. Using the Dobson | DaVanzo Hospital Finance Simulation Model, Medicare Hospital Cost Report data, and assumptions on how states would respond to the AHCA Medicaid provisions, the authors found that beginning in 2020, the financial status of safety-net hospitals could deteriorate as Medicaid coverage is reduced and the per-capita spending limits proposed in the AHCA grow. In addition, the authors found that small rural safety-net hospitals and safety net hospitals treating large proportions of low-income patients could be hurt the most. Ultimately, the study shows the strain that would be placed on safety net hospitals due to Medicaid provisions in the AHCA, and indicates that unintended consequences such as hospital closures, cost shifts to Medicare and private insurers and reduced provider payments may be a byproduct of the proposed legislation. The study can be accessed here.
Al Dobson, Randy Haught, and Joan DaVanzo co-authored “How the American Health Care Act’s Changes to Medicaid Will Affect Hospital Finances in Every State”, a report which was recently released by The Commonwealth Fund. The report provides a state-by-state look at the impact of the AHCA Medicaid provisions on hospitals. Specifically, changes in uncompensated care, Medicaid payments, and hospital financial margins over the next ten years. To read the report click here.
On May 18th, Luis Arzaluz participated as a moderator for a Capitol Hill briefing titled "Looking Ahead: The Affordable Care Act's (ACA) Individual Health Insurance Market, What's in it for Latinos?" The panel was part of the Congressional Hispanic Caucus Institute's annual Policy Briefing Series held at the Dirksen Senate Office Building. Luis presented findings from his research on the ACA exchanges' individual insurance market performance and its policy implications on Latinos' access to health insurance coverage. The briefing was attended by Congressional staffers and public policy experts. Organizations represented on the panel included the Kaiser Family Foundation, Families USA, and the Center for Budget and Policy Priorities. To view the white paper that the briefing was was based off of click here.
Alex Hartzman and Sarmistha Pal co-author blog “ACO Performance and Quality” with the National Association of ACOs published on Public Health Post. The blog discusses the Medicare Shared Savings Program (MSSP) and ACO performance to date as well as directions for future research. To read the blog click here.
On Tuesday, June 20, Al Dobson and Randy Haught presented findings from the report, “The Financial Impact of AHCA Medicaid Provisions on Safety-Net Hospitals” during an educational teleconference sponsored by The Commonwealth Fund. To read the report click here.
Al Dobson presented at the Federation of American Hospitals’ 2017 Policy Conference on Wednesday, June 14. Al’s presentation, “Alternative Payment Models: A Field Report” summarized Dobson | DaVanzo’s recent research on Alternative Payment Models (APMs) including bundled payments and Medicare Shared Savings Program (MSSP) ACOs. Al spoke about the provider- and market- level changes his firm is observing through its work with a diverse range of clients, and shared considerations for hospitals given the continuing trend away from fee-for-service and toward value-based payment. To view the presentation, click here.
On Thursday, April 20th Al Dobson presented at the National Association of Long Term Hospitals (NALTH) 2017 Spring Clinical Education and Annual Meeting. Al’s presentation discussed the current political landscape, the growth of alternative payment models (APMs), and the role of the long-term care hospital (LTCH). To read more about Al’s presentation click here, and make sure to flip to page 13.
On Monday, May 15th, Dobson DaVanzo & Associates, LLC celebrated its ten-year anniversary at The Mayflower Hotel in Washington, DC. Many colleagues and friends came to share our success. Ten years ago, Dobson | DaVanzo started with a staff of three, working at the kitchen table at the owners' house, and has since grown from three people to twenty. The firm performs health economics and policy studies for government and commercial clients, influencing public decisions, and appearing in legislation and regulation. Our client list is extensive, representing a broad spectrum of influential health care system stakeholders. We are thankful to all of our clients and friends who have supported us over the past ten years, and who will continue to support us over the next ten!
Alex Hartzman and Kimberly Rhodes Author “Accountable Care Organizations and Disparities,” a letter to the editor published in the May 2017 issue of Health Affairs. The letter discusses ACOs and their potential to reduce disparities in care quality for minority populations. To read the article click here.
Steven Heath authors a blog for The Public Health Post titled "The Importance of Medicaid DSH Payments". To read Steven's blog click here.
The Alliance for Home Health Quality and Innovation released the data analysis study from Dobson | DaVanzo, entitled, " Data Analysis Underscores Value of Home Health in the Medicare Comprehensive Care for Joint Replacement Payment Model." The data was released in an online article on Morning Consult entitled "When Seeking Value, Look to Home Health Care." To read this article and access the data click here.
Dobson | DaVanzo's report to American Hospital Association (AHA) and the Federation of American Hospitals (FAH), "Estimating the Impact of Repealing the Affordable Care Act on Hospitals", was featured on a PBS news segment Monday, December 12. To view this broadcast click here.
Al Dobson and Joan DaVanzo co-authored an article published in "Health Affairs" magazine that discussed their findings from 2011 in regards to disproportionate-share hospitals. To read the abstract from this article click here
The Federation of American Hospitals (FAH), and the American Hospital Association (AHA), together have released Dobson | DaVanzo report, entitled, "Estimating the Impact of Repealing the Affordable Care Act on Hospitals", which can be viewed here.
Al Dobson gave the presentation at the Omnishore Hotel for the 2016 annual NALTH conference. The presentation titled, "ACOs and Bundling Part 2: Thriving and Surviving Under Payment and Delivery System Change" can be accessed here.