Abstract
Medicaid payments to hospitals.” Sperry wrote to the state Health and Human Services Commission in July 2013 to comment on its proposed amendments to Medicaid outpatient hospital reimbursement rules, which led to the current reductions. In his letter, Sperry noted that children’s hospitals provide both trauma and emergency services and recommended that the agency delay implementing the reduction for a year to develop alternative approaches to reducing Medicaid costs for nonurgent care provided in the ED. The Children’s Hospital Association of Texas, he wrote, considered it “premature and inappropriate to cut hospital ED rates” before the funding of “hundreds of projects” aimed at improving access to primary care and to support the development of medical homes.
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