Safety Net Hospitals Raise Concerns on DSH Cuts
The fate of the PPACA remains in the hands of the U.S. Supreme Court, which is expected to rule this month on the constitutionality of the sweeping healthcare reforms. With so much uncertainty surrounding the law, Feldpush says there has been some reluctance to implementing key provisions that could help safety net hospitals.
"We know for certain that at least on the health exchange side the implementation in states is going a little slower," Feldpush says. "Obviously they have been bogged down by the constitutional challenges to the law. There are a lot of states that have not moved quickly either because they are opposed to the exchanges or they are not sure it is going to remain in the law. That is all happening slower than people had anticipated."
NAPH this month released a study showing that the nation's safety net hospitals represent 2% of all acute care hospitals, but delivered 20% of all uncompensated care in 2010. NAPH said its annual member characteristics report, America's Safety Net Hospitals and Health Systems, 2010, found that its member hospitals delivered increasing levels of outpatient and inpatient services and uninsured patients accounted for 30% of ambulatory care visits and 19% of inpatient services.
The 52-page report said that the average margin for NAPH hospitals was 2.3% in 2010, compared with 7.2% for all hospitals. Safety net hospitals would have suffered a 6.1% loss without Medicaid DSH payments and a 10.6% loss without DSH and other supplemental Medicaid payments, the report said.
- Readmissions: No Quick Fix to Costly Hospital Challenge
- Ebola: Health Officials Try to Quell Front Line Fears
- House Calls Key to Pioneer ACO Success
- How Telehealth Pays Off for Providers, Patients
- Defensive Medicine Still Prevalent Despite Tort Reform
- How Top-Ranked MA Plans Earn Their Stars
- 'Overtreatment' Debate Circles Back to Lung Cancer Screening
- Reducing Readmissions Starts with Better Collaboration
- Partners HealthCare M&A Deal Under Scrutiny
- 4 Ways to Lower the Cost to Collect from Self-Pay Patients