Acute-care and critical-access hospitals received more than 80% of the $100 billion that CMS sent out to providers to help improve their cash flow as revenue dried up due to the COVID-19 pandemic.
CMS this month released data showing where loans from its Medicare Accelerated and Advance Payments program went. Program applications were open for roughly a month from March to April. CMS suspended the program because the agency said HHS had started giving out provider grants that don't have to be repaid.
Here's how much accelerated and advance payments selected provider types received, as of May 2. The payments are loans for Medicare Part A and Part B payments that providers must repay.
- Short-stay hospitals: $78.4 billion
- Specialty or multi-specialty practices: $3.5 billion
- Skilled nursing facilities: $3.2 billion
- Critical-access hospitals: $2.6 billion
- Home health: $1.7 billion
- End-stage renal disease (ESRD): $1.3 billion
- Hospice: $1.1 billion
- Ambulatory surgical centers: $323 million
- Rural health clinics: $221 million
- Clinical laboratories: $143 million
- Children's hospitals: $43 million
- Internal medicine: $24 million
- Federally qualified health centers: $20 million
- Emergency medicine: $16 million
- Family practice $15 million
Providers with heavy Medicaid payer mixes were eligible for proportionally fewer funds than those with more Medicare patients. Medicaid providers were also disadvantaged by the formula used by HHS to distribute grant funds.
House Democrats included providers' request to extend repayment timelines, reduce interest rates and reduce the per-claim recoupment rate in their opening bid for Congress' next round of COVID-19 relief legislation. However, lawmakers didn't include any provisions that would allow the loans to be forgiven.
GOP Senate leadership has indicated it will not take up House Democrats' bill as-is, but it is unclear whether a final legislative package will include changes to the AAP program.