ARRA News Service
ARRA News Service facebook page  
News for social, fiscal & national security conservatives who believe in God, family & the USA. Upholding the rights granted by God & guaranteed by the U.S. Constitution, traditional family values, "republican" principles / ideals, transparent & limited "smaller" government, free markets, lower taxes, due process of law, liberty & individual freedom. All content approval rests with the ARRA News Service Editor. Opinions are those of the authors. While varied positions are reported, beliefs & principles remain fixed. No revenue is generated for this site - no paid ads accepted - no payments for articles. Fair Use doctrine is posted & used.
Editor/Founder: Bill Smith, Ph.D. [aka: OzarkGuru & 2010 AFP National Blogger of the Year]
Contact: editor@arranewsservice.com (Pub. Since July, 2006)
    Home Page

One of the penalties for refusing to participate in politics is that you end up being governed by your inferiors. -- Plato (429-347 BC)

Thursday, March 10, 2016

Hospitals & Charity Care: The Medicaid Solution That Wasn’t

by Andrew Collins: Nonprofit hospitals have made much ado about the costs of charity care provided to the poor. So when President Obama’s 2010 health law went into effect, offering states an opportunity to expand Medicaid and bring in billions of dollars in federal welfare spending, these hospitals jumped at the opportunity. They argued that adding working-age people without children or disabilities to the Medicaid rolls could curb their charity care and bad debt expenses and put them on better financial footing.

Is there reason to doubt these hospitals’ claims that Medicaid expansion is in the best interest of health care costs? Watchdog reporter Jason Hart has spent the past year and a half covering the true costs of Medicaid expansion in the states under Obamacare, and his reports on the issue show that these hospitals’ concerns are overblown. Here’s what his investigations have uncovered:

Ohio
In 2013, the year when Ohio was considering expanding Medicaid, nonprofit hospitals profited to the tune of $2.8 billion. Some of the larger institutions posted nonprofit profits of hundreds of millions of dollars. Charity care costs represented just 2.4 percent of their expenses – meaning that most nonprofit hospitals would have ended up in the black with millions of dollars to spare even if they had no funding for their charity care. Despite the manageable costs, however, they still lobbied for Medicaid expansion.

Review the full details about each Ohio nonprofit hospital’s charity costs.

Kentucky
A Watchdog review of Kentucky’s nonprofit hospitals, which provide health care whether or not a patient has the ability to pay, found that just as in Ohio, charity care costs represent a very small portion of total expenses. The 2012-13 financials of of 37 nonprofit members of the Kentucky Hospital Association show that just 3.3 percent of their costs go to charity care. That figure was even smaller than other areas of uncompensated care such as unreimbursed Medicaid and bad debt from when patients don’t pay their bills. Those costs amounted to 3.5 percent and 7.3 percent, respectively, of hospitals’ total expenses.

Kentucky has since expanded Medicaid through Obamacare, but it is having some unexpected results. “While charity care has declined due to people gaining Medicaid coverage, uncompensated are is far more than just charity care,” wrote the KHA in a report last April. That report found that expanding Medicaid has actually increased nonprofit hospitals’ costs for unreimbursed Medicaid, because the program underpays for services.

Review the full details about each KHA nonprofit hospital’s charity costs.

Indiana
Rhetoric over Medicaid expansion has clashed with reality in the Hoosier state, especially when it comes to nonprofit hospitals’ fuss about charity care expenses. A Watchdog analysis of 31 nonprofit members of the Indiana Hospital Association (similar to the analyses cited earlier in this piece) found that charity care costs amounted to just 3.2 percent for the year when IHA was advocating for Medicaid expansion through Obamacare. Just as in Kentucky, this was the smallest portion of uncompensated care costs for IHA members. Unreimbursed Medicaid averaged 4.9 percent of total revenue, and bad debt expenses averaged 5 percent.

Indiana’s Republican Gov. Mike Pence has embraced Obamacare’s expansion plan, but talking points from the Expand Indiana Coverage Campaign neglect to mention that unreimbursed Medicaid, which will surely grow with an expansion of the program, is actually a bigger part of the problem than charity care costs.

Review the full details about each IHA nonprofit hospital’s charity costs.

Wyoming
The fourth installment of Hart’s investigations into the costs of uncompensated care focuses on Wyoming, where hospitals (again!) want the state to expand Medicaid under Obamacare. A study last year by the Wyoming Legislative Service Office (LSO) found that charity care costs only amounted to a mere 7 percent of uncompensated care costs, versus a whopping 33 percent for bad debt and 14 percent for Medicaid underpayments. Expanding Medicaid would almost certainly push those percentages even higher as an estimated 17,600 more adults would join the program.

Review the full breakdown of Wyoming hospitals’ uncompensated care costs.

Virginia
Charity care and other uncompensated costs haven’t stopped nonprofit hospitals in the Old Dominion from staying in the black. Watchdog’s review of a 2012-23 financials report found that 88 percent of the 25 nonprofit members of Virginia Hospital & Healthcare Association turned in the nonprofit version of a profit, averaging $30 million more in revenue than expenses. Charity care costs at these hospitals averaged only 4.7 percent – less than the combined expenses of unreimbursed Medicaid (2.7 percent) and bad debt (4.1 percent). Like the other states menionted here, the hospitals want Virginia to opt in to Medicaid expansion through Obamacare.

Without the expansion, however, it appears they are doing just fine. As Mike Thompson, president of Virginia’s free-market Thomas Jefferson Institute for Public Policy, told Watchdog.org, “These guys cry wolf just a little too often. Overall the hospital industry is making good profit.”

Review the full breakdown of VHHA nonprofit hospitals’ uncompensated care costs.

Michigan
Michigan has come under national scrutiny for a number of big problems, but charity care costs are not one of them. According to a Watchdog survey of 66 nonprofit members of the Michigan Health & Hospital Association, charity costs averaged just 1.4 percent of nonprofit total expenses. Unreimbursed Medicaid and and bad debt costs were both much higher, at 3.4 and 5.5 percent respectively. Altogether, these hospitals averaged $7.8 million more in revenue than in expenses.

Review the full breakdown of MHA nonprofit hospitals’ uncompensated care costs.
-----------------
Andrew Collins (@ACwords) when not writing an article, spearheads Franklin Center’s social media campaigns, promoting journalism through Franklin Center, Watchdog.org, and Watchdog Wire-branded accounts on various social media platforms. Previously, Andrew worked in campaign communications and television news.

Tags: Hospitals, Charity Care, Medicaid Solution, That Wasn’t, Andrew Collins, Franklin Center To share or post to your site, click on "Post Link". Please mention / link to the ARRA News Service. and "Like" Facebook Page - Thanks!
Posted by Bill Smith at 10:00 AM - Post Link

0 Comments:

Post a Comment

<< Home



national debt
Don't miss anything!
Subscribe to the
ARRA News Service
It's FREE & No Ads!

You Receive One Email Each Morning
With Prior Days Articles / Toons / More


Also, Join us at:
Facebook.com/ARRANewsService


Recent Posts:
Personal Tweets by the editor:
Dr. Bill - OzarkGuru
Married 48yr #Conservative #Constitution #NRALife #GunRights #USAF 22yr #military #veteran #Christian #CCOT #ProLife #TEAParty #GOP #TCOT #SGP #schoolchoice



Action Links!
Arkansas State Senators
AR State Representatives
Arkansas Governor Office
Arkansas Attorney General
Bankrupting America
US House of Representatives
US Senators
Family Research Council
GrassFire
NumbersUSA
Ballotpedia
Judgepedia
Sunshine Review


Facebook Accts - Dr. Bill Smith
Pages:
ARRA News Service
Arkansans Against Big Government
Alley-White Am. Legion #52
Baxter County Republicans, AR
Catholics & Protestants United Against Discrimination
End Taxpayer Funding of NPR
Overturn Roe V. Wade
Prolife Soldiers
Project Wildfire
Republican Liberty Caucus of Arkansas
The Gold Standard
Twin Lakes Republican Women
US Atty Gen Loretta Lynch, aka Eric Holder, Must Go
Veterans for Sarah Palin
Why Vote for Hillary (Satire)
FB Groups:
Arkansas For Sarah Palin
Arkansas Conservative Caucus
Arkansas County Tea Party
Arkansans' Discussion Group on National Issues
Blogs for Borders
Conservative Solutions
Conservative Voices
Defend Marriage -- Arkansas
FairTax
FairTax Nation
Arkansas for FairTax
Friends of the TEA Party in Arkansas
Freedom Roundtable
Let's Mine AR Lignite NOW!
Personhood Initiative
Pro-Life Rocks - Arkansas
Republican Network
Republican Liberty Caucus of AR
Reject the U.N.

Patriots
Exchange
Links

Links to ARRA News
A Patriotic Nurse
Agora Associates
a12iggymom's Blog
America, You Asked For It!
Americans for a Free Republic
America's Best Choice
America's Whatchtower
An Ol’ Broad’s Ramblings
AR Republican Assembly
ARRA Twitter
As A Matter of Fact
As The Crackerhead Crumbles
Baaad Media!
Baxter Co. GOP Assembly
Baxter County Republicans
Benton Co. GOP Assembly
Black & Right
Blogs For Borders
Blogs for Palin
Blow the Trumpet Ministry
Boot Berryism
Cap'n Bob & the Damsel
Chicago Ray Report
Chuck Baldwin - links
Citizen Pamphleteer
Common Cents
Conservative Hideout
Conservative Observer AZ
Conservative Voices
Conway Real Deal
Defeat Obama's Agenda
Diana's Corner
eGOP News
Florida Pundit
Franklin Online Outreach
Freedom For US Now
Free Zone Media Center
For God and Liberty
Garland County Republicans
Greater Fitchburg For Life
Guns and Religion
Lasting Liberty Blog
Liberal Isn't Amy
Liberty's Lifeline
Maggie's Notebook
Marathon Pundit
Monkey in the Middle
NASA Satellites
No Runny Eggs
Okie Campaigns
Our Voices Arkansas
Patriot's Corner
ProLifeBlogs
Publius Forum
Randy's Roundtable
Real Debate Wisconsin
Religion and Morality
Right on Issues that Matter
Right Reason
Rocking on the Right Side
Saber Point
Saline Watchdog
Secure Arkansas
Sentry Journal
Teresamerica
Stop Obama Satire & Cartoons
The Arkansas Patriot
The Audacity of Logic
The Blue Eye View
The Bobo Files
The Born Again Americans
TEA Party Cartoons
The Conservative Citizen
The Foxhole | Unapologetic Patriot
The Liberty Republican
The Lid
The Looking Spoon
The Maritime Sentry
The O Word
The Path to Tyranny Blog
The Real Polichick
TOTUS
Truth About Obamacare
Twitter @ARRA
Warning Signs
Women's Prayer & Action
WyBlog

Editor's Managed Twitter Accounts
Twitter Dr. Bill Smith @arra
Twitter Arkansas @GOPNetwork
Twitter @BootBerryism
Twitter @SovereignAllies
Twitter @FairTaxNation


Editor's Recommended Orgs
Accuracy in Media (AIM)
American Committment
American Enterprise Institute
American Family Business Institute
Americans for Limited Government
Americans for Prosperity
Americans for Tax Reform
American Security Council Fdn
AR Faith & Ethics Council
Arkansas Policy Foundation
Ayn Rand Institute
Bill of Rights Institute
Campaign for Working Families
Center for Individual Freedom
Center for Immigration Studies
Center for Just Society
Center for Freedom & Prosperity
Citizens Against Gov't Waste
Citizens in Charge Foundstion
Coalition for the Future American Worker
Competitive Enterprise Institute
Concerned Veterans for America
Concerned Women for America
Curtis Coleman Institute for Constitutional Policy
Declaration of Am. Renewal
Eagle Forum
FairTax
Family Research Council
Family Security Matters
Franklin Center for Gov't & Public Integrity
Gingrich Productions
Global Incident Map
Great Americans
Gold Standard 2012 Project
Gun Owners of America (GOA)
David Horowitz Freedom Center
Institute For Justice
Institute for Truth in Accounting
Judicial Watch
Less Government
Media Reseach Center
National Center for Policy Analysis
National Right To Work Foundation
National Rifle Association (NRA)
National Rifle Association (NRA-ILA)
News Busters
O'Bluejacket's Patriotic Flicks
Open Secrets
Presidential Prayer Team
Religious Freedom Coalition
Renew America
Ron Paul Institute
State Policy Network
Tax Foundation
Tax Policy Center
The Club for Growth
The Federalist
The Gold Standard Now
The Heritage Foundation
The Leadership Institute
Union Facts



Blogs For Borders

Reject the United Nations

Adopt Our Troops in Prayer


Thousands of Deadly Islamic Terror Attacks Since 9/11

FairTax Nation on FaceBook
Friends of Israel
Blog Feeds
Syndicated - Get the ARRA News Service feed Syndicated!
ARRA Blog Feed

Add to Google Reader or Homepage

Add to netvibes

Add to Bitty Brouser

Add to The Free Dictionary

Powered by Blogger

Politics Blogs
Politics blog


  • How To Exchange Links!
  • Comments by contributing authors or other sources do not necessarily reflect the position the editor, other contributing authors, sources, readers, or commenters. No contributors, or editors are paid for articles, images, cartoons, etc. While having reported on and promoting the beliefs associated with the ARRA, this blog/site is not controlled by nor funded by the ARRA. This site/blog does not advertise for money or services nor does it solicit funding for its support.
  • Fair Use: This site/blog may contain copyrighted material the use of which has not been specifically authorized by the copyright owner. Such material is made available to advance understanding of political, human rights, economic, democracy, and social justice issues, etc. This constitutes a 'fair use' of such copyrighted material as provided for in section Title 17 U.S.C. Section 107 of the US Copyright Law. Per said section, the material on this site/blog is distributed without profit to readers to view for the expressed purpose of viewing the included information for research, educational, or satirical purposes. Any person/entity seeking to use copyrighted material shared on this site/blog for purposes that go beyond "fair use," must obtain permission from the copyright owner.
  • © 2006 - 2016 ARRA News Service
Creative Commons License
Creative Commons Attribution Noncommercial Share Alike 3.0 Unported License.