Photo: FacebookJust-closed Hutcheson Medical Center in Fort Oglethorpe, Ga.
We’ve written extensively about Medicaid expansion and the impact on hospitals that have many low-income uninsured patients that would be eligible for coverage.
Now, there are some signs – admittedly preliminary – that the dollar and cents needs of rural hospitals in Georgia may trump the political imperative to keep saying no to the Affordable Care Act’s Medicaid option. Continue reading
Photo: Phil GalewitzA recent AHCJ chapter meeting featured discussion of Medicaid and story ideas for reporters to pursue. Facing the camera, from left to right, are Rebecca Adams of CQ Roll Call, Joan Alker of the Georgetown Center for Children and Families; Cindy Mann, former head of Medicaid official; and Matt Salo, head of the National Association of Medicaid Directors.
The Washington, D.C., chapter of AHCJ held an event about Medicaid in late October with Matt Salo, who leads the National Association of Medicaid Directors; Cindy Mann, who until January was the top U.S. official in charge of Medicaid at HHS and now works at Manatt, Phelps & Phillips; and Joan Alker, executive director of the Georgetown Center for Children and Families.
Here are some of their insights and story ideas that can help reporters keep this story fresh. Continue reading
A couple of stories have begun to trickle out from states about the impact of Medicaid expansion on hospitals.
This one from the Arizona Daily Star by Stephanie Innes, for instance, reports that uncompensated care dropped by a third in the first four months of 2014 from the prior year – a pretty significant number. The hospitals in that period wrote off $170 million in 2014, versus $246 million from Jan through April in 2013.
She uses data from the state’s hospital industry to report on uncompensated care (both bad debt and uncompensated care) and the hospitals’ bottom line.
“The Arizona hospital report shows the average operating margin of Arizona hospitals has gone up from 4 percent in 2013 to the current rate of 5.2 percent — a signal to some health experts that the Affordable Care Act will be a net positive for hospitals’ bottom lines,” she wrote. Continue reading
Here’s another HealthCare.gov problem – and a workaround – that haven’t gotten much attention.
People can apply for Medicaid (traditional or expanded) via the federal HealthCare.gov website. But the applications still have to get transferred to the states which have to process them to finalize enrollment in the actual state program. And it’s supposed to be done by Jan. 1.
Guess what? That was a problem. With all the website woes, the feds weren’t able to process that information and had pushed back deadlines. Then, quietly, on the Friday of Thanksgiving weekend, CMS offered a transitional “administrative” fix through this federal policy guidance.
The states are allowed to use the minimal information on the so-called “flat files” to finalize the Medicaid status. The flat files had been pretty bare bones but CMS says expanded files will “include data elements such as: date of birth, Social Security number, eligibility category used for assessment or determination, and verification inconsistencies. The file will identify individuals who have been assessed or determined eligible for Medicaid and CHIP on the basis of modified adjusted gross income (MAGI).”
It would be good to check in with your state’s Medicaid director. Is this enough? Too little, too late? Will people be correctly enrolled in Medicaid by Jan. 1 – or will some be left uncovered, even if they did their part of the application process correctly?
Here’s a list of state Medicaid directors from the National Association of Medicaid Directors.