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The Affordable Care Act isn't wiping out unpaid hospital bills

The Affordable Care Act isn't wiping out unpaid hospital bills

By Melanie Evans  |  March 05, 2016

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.

On the ground in Iowa: The real healthcare story as caucuses loom

On the ground in Iowa: The real healthcare story as caucuses loom

By Harris Meyer  |  January 16, 2016

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.

New Ky. governor to overhaul Medicaid expansion

New Ky. governor to overhaul Medicaid expansion

By Bob Herman  |  December 30, 2015

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.

HCA will pay $434 million for failing to meet conditions of deal made 12 years ago

By Michael Sandler  |  December 11, 2015

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.

Chicago's storied public hospital system gets boost from its new Medicaid plan

Chicago's storied public hospital system gets boost from its new Medicaid plan

By Bob Herman  |  November 28, 2015

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.

Hospitals broaden scope of community-benefit work

Hospitals broaden scope of community-benefit work

By Beth Kutscher  |  November 21, 2015

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.

Q&A: Politicians' ACA stance depends on how close they are to the point of service

Q&A: Politicians' ACA stance depends on how close they are to the point of service

By Modern Healthcare  |  November 21, 2015

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.

Hospitals fall short on ACA charity-care rules

By Beth Kutscher  |  October 28, 2015

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.

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