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Supreme Court Decision Has Huge Medicaid Implications

When the Supreme Court rules on the challenge to the Affordable Care Act, its decision will have enormous implications for states, low-income and uninsured people, and health care providers.
Among the many features of the health care reform act on which the Supreme Court will rule is the single biggest expansion of eligibility since Medicaid was introduced in the mid-1960s.
As they await the court’s decision, many states already are laying the groundwork for the addition of between 15 million and 20 million people to the nation’s Medicaid rolls.
Pennsylvania’s safety-net hospitals have a considerable stake in the court’s decision because the planned Medicaid expansion could add as many as a half-million people to the state’s Medical Assistance rolls.
The New York Times has taken a closer look at the stakes in the court’s upcoming decision.  Read that Times article here.

2012-06-18T10:11:29+00:00June 18th, 2012|Health care reform, Uncategorized|Comments Off on Supreme Court Decision Has Huge Medicaid Implications

Newborn Pay Cut

Pennsylvania’s Medical Assistance program will no longer pay hospitals for care they provide to normal newborns delivered by patients who participate in the state’s fee-for-service program.
This policy change, which took effect on May 1, will have a greater impact on Pennsylvania’s safety-net hospitals than on other hospitals because safety-net hospitals are involved in far more Medicaid-covered deliveries than other hospitals – two-thirds of such births according to the recent SNAP report Pennsylvania’s Safety-Net Hospitals:  Vital Providers, Vital Employers, which you can find here.
The policy change governing how Medicaid will pay hospitals for the care they provide to normal newborns is described in greater detail in a May 4 Medical Assistance Bulletin, which you can read hereBookshelf with law books.

2012-05-07T06:00:56+00:00May 7th, 2012|Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off on Newborn Pay Cut
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