Medicare Policy at UI Health

The VCHA Health Policy and Strategy team follows, interprets, and communicates internally about Medicare policy developments, and recommends appropriate actions for UI Health. We also prepare communications to federal agencies and congressional offices, and directly engage with key contacts, including our national associations.

Major areas of Medicare policy that we cover include:

  • Reimbursement
  • Medicare quality and value based penalties, such as the Hospital Readmissions Reduction Program (HRRP). We are particularly interested in risk-adjustment for socioeconomic status in calculating readmissions rates.
  • We monitor funding proposals and reductions related to workforce training education, especially those that impact primary care providers and federally qualified health centers (FQHCs).
  • Federal budget process and its implications for UI Health
  • Although not part of Medicare, we also cover issues related to the 340B drug pricing program

Office contact: Amy Sagen