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Without Medicaid,Hospitals May Pay Patient Premiums
Uncompensated care was supposed to be a thing of the past, but it's persisting in many states not expanding Medicaid eligibility. As an alternative, for some high-cost uninsured patients, hospitals are turning to a new option.
Uncompensated care was supposed to be a thing of the past, but it's persisting in many states not expanding Medicaid eligibility. As an alternative, for some high-cost uninsured patients, hospitals are turning to a new option.
In his 32 years working in insurance operations at Forrest General Hospital in Hattiesburg, Mississippi, Pat Riley has seen the problem of uninsured patients ebb and flow — with poor health outcomes for individuals and uncompensated costs for the health system — and the Great Recession brought another surge.
Now director of insurance at Forrest General, the 512-bed flagship of Forrest Health, Riley is optimistic about the potential of the Affordable Care Act. While Mississippi, like 23 other states, isn’t expanding Medicaid eligibility to low-income childless adults, those earning above 100 percent of the federal poverty level can get premium and cost-sharing subsidies for exchange plans — a message that Riley and Forrest Health try to hammer home to the residents of greater Hattiesburg through participation in health fairs, town halls, public service announcements and outreach to patients.
Read the full story here: http://bit.ly/1rRjunI
Source: Healthcare Payer News
Managed Care Reflections: A Q&A With A. Mark Fendrick, MD, and Michael E. Chernew, PhD
December 2nd 2025To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The December issue features a conversation with AJMC Co–Editors in Chief A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design and a professor at the University of Michigan in Ann Arbor; and Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and the director of the Healthcare Markets and Regulation Lab at Harvard Medical School in Boston, Massachusetts.
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