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AHA: Hospitals Can Pay Patients' HIX Premiums



In a legal advisory to hospitals, the American Hospital Association asserts that the federal government's own regulations "clearly allow for another person or organization to pay the insurance premium for the enrolling individual."



3 comments on "AHA: Hospitals Can Pay Patients' HIX Premiums"
Stuart Showalter (11/25/2013 at 11:08 AM)

The AHA advisory is basically their advocacy position. It remains an open question whether subsidizing an insured's premium would be a violation of the kickback laws (state or federal) or some other anti-fraud statute. Regardless of the opinion of AHA, HHS or the DOJ, it would ultimately be for the courts to decide. Using a charitable foundation may be an option, but I urge careful legal analysis on a case-by-case basis.
Martha Carlton (11/19/2013 at 3:07 PM)

How is this different from healthcare systems offering HMO policies through HIX for $1 per month? As long as the patients can choose where they access it seems like a in- win.
Manuel H. Moraleda (11/19/2013 at 11:26 AM)

Ultimately this money that the hospital is using comes from insured patients. Would the federal government provide a bailout later in the event that the insurance company is placed at financial risk and would consider bankruptcy ?