Noteworthy News

Archive for July, 2012


Supreme Court Decision Could Lead to Medicaid Eligibility Cuts

The Supreme Court’s decision to make the Affordable Care Act’s Medicaid expansion optional for states could end up resulting in reductions in Medicaid eligibility in some states come 2014. That’s when the maintenance-of-effort provision in the health care reform law expires – a provision written when it was assumed that expansion of Medicaid eligibility would begin in earnest. Less than a week after the Supreme Court ruling, it is unknown which states will and which will not participate in the reform law’s Medicaid expansion, which brings along with it an unprecedented level of federal matching funds. But among states that [&hellip

Medicaid Expansion: Will They Or Won’t They?

The Supreme Court’s decision on the Affordable Care Act permits individual states to decide for themselves whether they will expand Medicaid eligibility under the reform law’s terms. The question now is whether states will pursue such expansion.  While federal funding of Medicaid expansion will begin at 100 percent of costs and phase down to 90 percent in five years, it is not yet clear whether even this generous funding will induce some states to expand their Medicaid rolls. Private, non-profit urban safety-net hospitals have a considerable stake in the decisions their states ultimately make.  Many of the uninsured patients urban [&hellip

NAUH Study Cited in News Report

A July 1 story in the Richmond Register about the implications of the Supreme Court’s decision upholding the Affordable Care Act cites past research by the National Association of Urban Hospitals (NAUH) on how the reform law may affect hospitals. The story, “Local health providers prepare for changes in services, funding,” speculates about the degree to which new revenue hospitals receive because more of their patients will be insured will be offset by the loss of Medicare disproportionate share (Medicare DSH) and Medicaid disproportionate share (Medicaid DSH) payments those hospitals will experience under the 2009 reform law. Read the Richmond [&hellip

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