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Medicaid Expansion Puts Bottom Line on Borrowed Time

Karen Minich-Pourshadi, for HealthLeaders Media, August 20, 2012

Now that the smoke has cleared from the U.S. Supreme Court's June ruling on the Patient Protection and Affordable Care Act, what's the upshot for financial leaders? It appears the only thing healthcare CFOs can count on is that they will have to slash costs.

For starters, most states are taking a hard look at Medicaid eligibility to determine if they'd like to participate in the expansion program. While each state tries to determine the pros and cons of participation (both political and financial), hospitals and health systems need to figure out the consequences of any path their state chooses.  

To join in the expansion, states must identify the newly eligible, assess how eligibility will be determined, and then streamline the process and coordinate enrollment across Medicaid, the Children's Health Insurance Program, and the state health insurance exchanges—and complete the process by January 1, 2014. (You thought Usain Bolt was fast? Now that's a sprint.)

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1 comments on "Medicaid Expansion Puts Bottom Line on Borrowed Time"


Todd (8/22/2012 at 12:39 PM)
States should encourage Medicaid patients to travel overseas if they need costly surgery and pay the beneficiary for doing so. That saves the state money and eliminates a loss leader patient from a hospitals bottom line.