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Emergency Medical Services at the Crossroads
HOSPITAL-BASED EMERGENCY CARE: AT THE BREAKING POINT
Chapter 2: The Evolving Role of Hospital-Based Emergency Care 2.1
Congress should establish dedicated funding, separate from Disproportionate Share Hospital payments, to reimburse hospitals that provide significant amounts of uncompensated emergency and trauma care for the financial losses incurred by providing those services.
2.1a Congress should initially appropriate $50 million for the purpose, to be administered by the Centers for Medicare and Medicaid Services.
2.1b The Centers for Medicare and Medicaid Services should establish a working group to determine the allocation of these funds, which should be targeted to providers and localities at greatest risk; the working group should then determine funding needs for subsequent years.
Chapter 3:Building a 21st-Century Emergency Care System
3.1 The Department of Health and Human Services and the National Highway Traffic Safety Administration, in partnership with professional organizations, should convene a panel of individuals with multidisciplinary expertise to develop evidence-based categorization systems for emergency medical services, emergency departments, and trauma centers based on adult and pediatric service capabilities.