Olympic Medical Center is a comprehensive health care provider serving the residents of Port Angeles, Sequim and surrounding communities. Inpatient services include a level-three trauma designated emergency department, surgical services, and labor and delivery. Outpatient services include cardiac care, cancer care, diagnostic imaging, physical therapy and rehabilitation, laboratory, orthopaedics, surgical services, sleep center, home health, primary care, a walk-in clinic and specialty physician clinics.
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Legislative Advocacy

Current Federal Issues 

Addressing Medicare Cuts

Sequestration took effect April 1, 2013, and reduced all Medicare reimbursement by 2%, which reduced Olympic Medical Center’s Medicare reimbursement by approximately $100,000 per month. This reimbursement reduction of $1.2 million annually further reduces Medicare payments below the cost of providing needed local services to Medicare enrollees.

Medicare (and Medicaid) payments to hospitals have been cut by an estimated $113 billion since 2010, according to a chart released by the AHA. The figures represent the 10-year impact of legislative and regulatory actions on hospital payments since 2010, excluding cuts included in the Patient Protection and Affordable Care Act. To view the chart, please click here.

Congress continues to contemplate further cuts to Medicare reimbursement. Olympic Medical Center is connecting with federal legislators to let them know that further cuts to Medicare will not only undermine the Affordable Care Act, but also harm large rural hospital systems and the communities they serve.

OMC's Federal Policy Priorities:

  • Maintain current reimbursement for physician services at hospital outpatient departments. Congress is considering a Medicare Payment Advisory Commission (MedPAC) recommendation that would reduce Medicare payment between 65% and 80% for 10 of the most common physician outpatient hospital departments. These physician services are already paid below the cost of providing these services. This recommendation does not consider rural areas with large populations of Medicare and Medicaid patients like Clallam County. Nor does it consider the costs of hospital space and the regulatory costs of maintaining hospital departments.
  • Stop further Medicare reimbursement reductions in order to protect local services that are needed by the more than 16,000 Medicare enrollees in Clallam County.
  • Protect Medicare reimbursement for physician services so that access to needed health care is maintained. We already have a physician shortage in Clallam County – further reductions will make the situation worse.
  • Stop site neutral payment recommendations. these recommendations would cut Olympic Medical Center Medicare payments by more than 5%, or $3 million annually.

We encourage you to write your elected federal representatives to let them know your thoughts on adequate Medicare funding.

 Governor Signs Sole Community Hospital Bill

 

About the Sole Community Hospital Bill
Olympic Medical Center helped develop a bill - co-sponsored by Senator Jim Hargrove, Representative Kevin Van De Wege and Representative Steve Tharinger - in the state legislature to recognize Sole Community Hospitals in Washington State, which would result in 25% increase in reimbursement for Medicaid outpatient services. This would raise reimbursement from 55% of cost to 70% of cost. Olympic Medical Center fills too large a need to be Critical Access (25 beds or less) and does not have the payer mix advantages of urban hospitals. Recognizing Olympic Medical Center for its status as a Sole Community Hospital, public hosptial district and Level-3 Trauma Center will help bridge this divide for adequate reimbursement for Medicaid.

The Sole Community Hospital bill (Senate Bill 5859) passed both the Senate and the House, and received Governor Jay Inslee's signature on March 19.

Thank you to all community members who supported this bill and advocated for adequate reimbursement from our government payers.

 

How Can You Help Advocate?

Take an active role in helping to solve the health care crisis! Educate yourself about current issues facing the industry, and ask your state and federal representatives to ensure adequate funding for health care providers in Washington State.

Write to your legislators. Your letters count! Let your legislators know how you feel about health care decisions. After all, legislators rely on constituent input in order to be effective. Please visit our "Call to Action" section above (when applicable) to find template letters addressing current legislative concerns.

You can also click here to read the American Medical Association’s publication, “A Guide to Communicating with Members of Congress.”

Click here for contact information for federal representatives.

Click here for contact information for state representatives.

For more information on the work OMC is doing on Legislative Advocacy, email advocacy@olympicmedical.org.

Additional Advocacy Resources:

American Hospital Association's "Coalition to Protect America's Health Care".

American Medical Association's (AMA) "Patient Action Network".

Resources on this topic are also found at the AMA’s main website, www.ama-assn.org and at the Washington State Hospital Association’s (WSHA) website, www.wsha.org.

About Medicare

Medicare is the federal health insurance program, mostly covering people who are 65 or older.

Approximately 56% of Olympic Medical Center's patients are covered by Medicare. Currently, Medicare pays approximately 85% of the actual cost for providing health care for these patients, and further Medicare reimbursement reductions continue to be proposed.

Adequate Medicare reimbursement is critical to the future financial viability of Olympic Medical Center.

About Medicaid (Apple Health)

Medicaid is a health and long-term care coverage program that is jointly financed by Washington State and the federal government. Effective January 1, 2014, Medicaid (also known as Apple Health) will expand to include individuals between the ages of 19 and 65 (parents, and adults without dependent children) with incomes up to 138% of federal poverty level based on modified adjusted gross income. Washington Apple Health continues to provide medical care for children in households with incomes up to 138% of federal poverty level.

Medicaid reimbursement is significantly below cost and Olympic Medical Center continues to advocate for adequate reimbursement from the program.

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