tci Medicare Compliance & Reimbursement - 2008 Issue 13

Medicaid: Physicians Reaping Benefits Of Privately Insured Patients

The Medicaid safety net is unraveling, says a new study According to a recent study, the balance hospitals use to pay for uninsured and Medicaid patients is in jeopardy. To subsidize care for uninsured patients and Medicaid enrollees, hospitals have traditionally used profits from their insured patients, according to a recent press release by Health Affairs. This is a safety net that hospitals have grown to rely on, but a recent study shows that physicians owning ambulatory surgical centers (ASCs) have been sending their lucrative patients to their own facilities and sending lower paying patients elsewhere. The study took...

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