policy / rural health

Fighting for Rural Together: 2017 NRHA Policy Institute

On February 8, 2017 the NYSARH Delegation met with the following offices on Capitol Hill:

  • Senator Charles Schumer

  • Senator Kirsten Gillibrand

  • Rep. Elise Stefanik

  • Rep. John Faso

Talking Points

  • Protect ACA from Repeal

    • Medicaid Expansion in NYS has been very meaningful and has allowed:

      • Us to contain costs

        • Rural Hospitals are very lean with 1.6% operating margins

      • DSRIP Programs have demonstrated increased integration

      • Targeted Care Management has provided Quality and Access to Care

    • No reduction of Medicaid Funding

      • No Block Grants; if considered Per Capita as a possible model, HOWEVER NEED TO MAKE SURE IT IS MODELED AROUND RURAL COMMUNITITES so that unintended consequences are realized prior to implementation

    • Swift transition plan to avoid uncertainty of the future.

    • High deductible plans is a big hurdle to access
       

  • Do not do anything with Medicare at this time
     

  • Continued funding for Safety Net Programs

    • These Rural Safety Net Programs include:

    • Rural Hospital Flexibility Grants

    • State Offices of Rural Health

    • Outreach / Network Grants
       

  • Broadband Expansion and Data Exchange

    • Telehealth

    • Incorporate Behavioral Health data into health information exchanges and claims feeds

    • Federal infrastructure support is essential to move toward quality and value based payments

    • Direct Communication is critical for Healthcare and the implementation of MACRA

    • Protect 340B Prescription Drug Discount Program

    • Cosponsor the Save Rural Hospitals Act

      • There are 30 vulnerable NY hospitals on the list

    • Support ACO Improvement Act of 2017

View a printable document of the talking points.

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