ACA Repeal Would Disproportionately Affect Hospitals that Treat A Lot of Gunshot Victims

By: Guest Author | Posted on: Feb 01, 2017

This article was originally published on modernhealthcare.com, by Steven Ross Johnson View the original article by clicking here

 Obamacare, Healthcare, Medical Insurance, health insurance, medical costs, medical coverage, what's next for healthcare, obamacare repeal, hospital administration, healthcare reinbustment, Trump, President Trump, Donald Trump, Trump Administration, Trump Healthcare plan, Healthcare 2017

Repeal of the Affordable Care Act—and with it a likely elimination of Medicaid expansion—could prove particularly costly for hospitals that treat victims of gun violence, according to a new study.

The Urban Institute studied the cost of treating gun violence at hospitals in six states from 2010 to 2014.

States that expanded Medicaid saw the program pick up a larger share of the costs while most states that opted out of the expansion saw few changes to their payment mix. The average hospital cost per patient ranged from $9,000 to $18,000 among the states studied.

Early Medicaid expansion adopters such as Kentucky saw uncompensated care for gun victims fall from 54% in 2010 to 13% in 2014, with Medicaid accounting for 68% of coverage.

In Florida, the share of uncompensated hospital costs remained unchanged during the study period, increasing slightly from 31.2% in 2010 to 31.9% in 2014. Public coverage also remained flat, with Medicaid making up 40.4% of hospital costs in 2014 compared to 40.5% of costs in 2010. Had Florida expanded coverage, the state's hospitals would have received more payment.


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