The promise of the ACA for hospitals was that bad debt—a figure that reflects bills a hospital can't collect—would shrink substantially under the law's coverage expansions. The reality, so far, is less uniformly dramatic, even though 20 million fewer Americans are uninsured.
Illinois Attorney General Lisa Madigan's office is asking an appeals court to hold back enforcement of its ruling on a part of a state law that lets hospitals avoid taxes.
A federal appeals court has upheld Virginia's certificate-of-need law despite arguments from two doctors who allege the statute is unconstitutional.
Political observers say healthcare won't be the top issue for most Iowa caucusgoers when they gather to pick their respective party nominees. But sharply clashing views about Obamacare are helping shape the climate, conversations with healthcare providers and voters in Cedar Rapids suggest.
Republican Kentucky Gov. Matt Bevin, a staunch opponent of the Affordable Care Act, plans to overhaul the state's expanded Medicaid program with an ACA-based waiver. He cited Indiana's cost-sharing model as one to possibly replicate.
A judge says a hospital in Yakima, Wash., has violated the state Charity Care Act by demanding payment from indigent patients.
A 2003 deal to acquire Kansas City, Mo.-based Health Midwest required HCA to make at least $450 million in capital improvements during the first five years of ownership and provide $653 million a year in charity care over 10 years. A judge ruled this week that HCA did not fulfill that agreement.
As more Americans gain Medicaid coverage, investing in a health plan is a potential lifeline for urban safety net systems. In Chicago, the Cook County Health and Hospitals System and its patients have both seen their health improve with CountyCare, the system's Medicaid managed-care plan.
As the need for charity care drops, some hospitals and health systems across the country are targeting funds to address societal ills such as poverty, violence, hunger, poor nutrition and lack of housing.
CEO George Masi and other leaders of Houston's Harris Health System drew the ire of Texas Gov. Greg Abbott for pushing for Medicaid expansion while the state was trying to renew its big Medicaid waiver. Masi discusses the politics of Medicaid and tightening the charity-care policy at Harris.
Medicaid losses lead the pack ... and their share of community benefit at not-for-profit hospitals is growing
Most hospitals lose money on every Medicaid patient they treat, and those losses are mounting as millions of Americans gain coverage through state programs that provide insurance to poor residents. But for not-for-profit hospitals, at least, those losses may have one positive side effect.
The clock is ticking on new rules under the Affordable Care Act that aim to ensure that hospitals devote more resources to charity care. But the rules don't appear to be yielding the desired effect.