Affordable Care Act Review

Affordable Care Act Review

Category Archives: Providers – Not-for-Profit

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Calculating ACA Exchange Subsidies: How and Why

Posted in Affordable Care Act, Exchanges, Government Employers, Private Employers, Providers - For Profit, Providers - Not-for-Profit
Having a degree in mechanical engineering has come in handy in my law practice more often than I thought it would.  For example, it came in very handy over the last few weeks, as I translated the language of sections 1401 and 1402 of the Affordable Care Act (and the associated Federal Register publications) into… Continue Reading

Reduce Uncompensated Care by Helping Uninsured Patients Obtain Subsidized Coverage Through The ACA Exchange

Posted in Community Health Needs Assessments, Exchanges, Providers - For Profit, Providers - Not-for-Profit
What Is the Opportunity? Medicaid DHS payments to hospitals, reflecting their uncompensated care burdens, exceeded $300,000,000 in 2011 in Alabama.  They topped $200,000,000 in Florida, $250,000,000 in Georgia and $150,000,000 in Mississippi. Much uncompensated care is attributable to patients with household incomes just a bit too high for Medicaid eligibility.  Many of those households had… Continue Reading

Medicare’s New Tactic—No Admission

Posted in Affordable Care Act, Business Organizations, Providers - For Profit, Providers - Not-for-Profit
Medicare’s New Tactic—No Admission  In one of the most unique approaches to addressing Medicare payment issues, CMS issued a notice on July 26, 2013 that, in certain American counties, it was unilaterally suspending, effective July 30, 2013,  the creation of new Medicare providers in ambulance services and home health agencies.  The suspension is for a… Continue Reading