Tag Archives: medicaid

ACA Sign-ups Rise, Medicare Payments Decline

As hospitals face decreasing Medicare reimbursement, enrollment in Affordable Care Act plans continues to rise. As part of the ACA, hospitals face reductions in Medicare reimbursement rates for excessive readmission, non-participation in reporting of quality data, and other outcome-based wrist slaps administered by CMS (Centers for Medicare and Medicaid Services). On the other hand, enrollment […]

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Larger Coverage Gaps, Lower DSH Payments Raise Red Flags in Hospital Financing

Hospitals across the country, face reductions in disproportionate share payments–commonly called DSH payments–over the course of the Affordable Care Act implementation. Beginning in 1985, COBRA legislation created payments that have compensated hospitals for treating a larger share of low income and uninsured patients. The Patient Protection and Affordable Care Act imposed reductions to these payments, […]

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