Medicaid

How are Hospitals Making Up for Reimbursement Shortfalls?

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How does your organization make up for reimbursement shortfalls? Do you compensate for these shortfalls by shifting the cost of government insurance and uncompensated care to the privately insured? This is what conventional wisdom has said is the best strategy for the longest time, Steve Jacob of DHealthcare Daily writes. However, two recent studies have […]

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Molina Healthcare, Inc.: Terry P. Bayer, J.D., M.P.H., Chief Operating Officer, and Gloria Calderon, Vice President of Molina Medical Group

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Thirty years ago, Molina Healthcare was founded by a gentleman with the foresight to know that providing financially vulnerable patient populations with care in the emergency room would ultimately tax the healthcare system to the point of breaking. To reach out to this population, many of whom were uninsured, non-English speaking, and dependent on government […]

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Dental Health Associates, P.A.: Clifford G. Lisman, D.M.D., President and Chief Executive Officer

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Based in New Jersey, Dental Health Associates, P.A., is spread across nine locations in the Garden State, with each location featuring full- and part-time general dentists, dental hygienists, and specialists who deliver a wide-ranging catalog of services, from episodic emergency care to boutique dentistry, to a patient base that ranges from infants to geriatrics. In […]

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Hospitals and Physicians Don’t Have Time to be Dealing with Political Squabbles over Medicaid Expansion

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The politicization of healthcare has always placed providers on edge, but Mark Niquette and Brian Chappatta of Bloomberg report the latest battle over Medicaid is simply something physicians and hospitals don’t have the time to be dealing with. One northwest Ohio rural hospital executive, Phil Ennen, told Bloomberg “he’d be out $1.3 million a year […]

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Healthcare Reform Could Lower Insurance Costs for Rural Consumers

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As we continue to assess the Affordable Care Act’s impact on all facets of the healthcare industry, we turn now to the impact reform is having on rural care. According to Nebraska’s Center for Rural Affairs, health insurance and medical care could actually be cheaper for rural-based consumers, which would be an incredible reversal on […]

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Senior Whole Health: Wayne Lowell, Chief Executive Officer

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Rising healthcare costs, particularly in light of an aging population, is a challenge for healthcare and government leaders in the United States. One company in Massachusetts, however, is working to provide total care for seniors receiving Medicare and Medicaid benefits. Focusing on wellness to save money Senior Whole Health provides a healthcare plan for dual-eligibles, […]

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Three North Carolina Hospitals Questioned About 340B Profits

When interviewing healthcare executives, HCE frequently hears the terms “accountability” and “transparency” used and what the government expects from them with increasingly intense scrutiny. This next story may be a difficult pill to swallow, especially considering the lack of accountability and transparency to which Congress is held. U.S. Sen. Chuck Grassley, R-Iowa, is questioning the […]

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Maine Hospitals Incur Great Debt to Expand and Upgrade Facilities

It goes without saying (but we’ll say it anyway) that cash flow is exceedingly difficult for hospitals to come by, especially with reimbursement cuts and the burden of federal and state debt. Yet hospitals have capital investments that need to be made and facilities that need to be expanded, upgraded, or replaced, sometimes all three. […]

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Sequestration Cuts a Better Alternative for Providers

Washington, D.C.’s latest episode of The Blame Game, sequestration, reaches it anticlimax tomorrow, and with it, $85 billion in automatic cuts will be made to the federal budget. Among these cuts, the Associated Press reports, is 2 percent in Medicare. However, those who will be affected, such as hospitals and doctors, aren’t “raising a ruckus,” […]

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HIEs Struggle to Catch On (Part 1)

Today, Friday, Feb. 15, 2013, is the day: the day when states make a final decision on whether they’re going to set up their own health-insurance exchange or let the government establish one for them. In the face of this deadline, Kelly Kennedy at USA Today reports that “there has been one last-minute surprise and […]

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