Uncompensated Care Costs

Hospital Closures Increased in States Without Medicaid Expansion

by Jacqueline LaPointe

Hospitals in Medicaid expansion states were six times, or about 84 percent, less likely to face hospital closures than their peers in non-expansion states, a new Health Affairs study showed. The...

CMS Details $43B Drop in Medicaid Uncompensated Care Support

by Jacqueline LaPointe

In a recently proposed rule, CMS outlined a methodology for reducing Medicaid support for hospitals incurring significant uncompensated care costs starting in 2018. The rule would implement reductions...

Hospitals Saw No Effect on Margins After Medicaid Expansion

by Jacqueline LaPointe

The net impact of Medicaid expansion on non-profit hospital finances was close to zero because uncompensated care cost reductions did not offset Medicaid reimbursement shortfalls, a recent...

AHA: Uncompensated Care Costs Worksheet Inaccurate, Inconsistent

by Jacqueline LaPointe

The American Hospital Association (AHA) recently called on CMS to audit and modify the hospital cost report, Worksheet S-10, before the federal agency uses the report to determine each hospital’s...

NH Judge Rejects CMS FAQs Clarifying Medicaid DSH Payments

by Jacqueline LaPointe

A district court in New Hampshire recently prohibited CMS from enforcing two Frequently Asked Questions (FAQs) that clarified how private payer and Medicare reimbursements paid to hospitals for...

Medicaid, Medicare Reimbursement $57.8B Below Hospital Costs

by Jacqueline LaPointe

Medicaid and Medicare reimbursement in 2015 was under actual hospital costs for treating beneficiaries by $57.8 billion, the American Hospital Association (AHA) recently reported. According to data from...

Do Medicaid Reimbursement, Admissions Produce Hospital Profit?

by Jacqueline LaPointe

Do Medicaid reimbursement rates and federal uncompensated care payments really cover the healthcare costs of treating larger proportions of Medicaid beneficiaries and uninsured individuals? Two new...

Children’s Hospitals Vulnerable to Uncompensated Care Cuts

by Jacqueline LaPointe

Pediatric healthcare providers, especially those practicing in free-standing children’s hospitals, could face serious financial setbacks following upcoming uncompensated care payment reductions as...

AHA Urges CMS to Withdraw Uncompensated Care Payment Changes

by Jacqueline LaPointe

The American Hospital Association (AHA) recently penned a letter to CMS Acting Administrator Andy Slavitt urging the federal agency to withdraw its proposed rule to include third-party payments, such as...

CMS Clarifies Medicaid Uncompensated Care Reimbursement Plan

by Jacqueline LaPointe

CMS plans to use third party and Medicare claims reimbursements to calculate hospital-specific uncompensated care costs and distribute Medicaid Disproportionate Share Hospital payments, according to a...

GAO: Medicare Uncompensated Care Aid Not Based on Actual Costs

by Jacqueline LaPointe

Medicare’s uncompensated care payments to hospitals do not account for the actual healthcare costs associated with treating large proportions of Medicaid and uninsured patients, according to a...

Hospital Profitability Rises by 35% in Oregon After ACA Passage

by Jacqueline LaPointe

Hospital profitability has increased for healthcare organizations across Oregon since the passage of the Affordable Care Act (ACA) in 2010, which enabled more individuals to become insured, the Oregon...

Uncompensated Care Drops by $6B after Medicaid Expansion

by Jacqueline LaPointe

Numerous individuals seek necessary medical services at hospitals regardless the ability to pay, but uncompensated care costs from charity cares and patient debt can strain hospital revenue cycles....

Hospitals’ uncompensated care costs drop $5.7B due to ACA

by Elizabeth Snell

For approximately 10 years before the Affordable Care Act (ACA) was implemented, the number of Americans without health insurance had been steadily increasing, according to the Department of Health...