12/31/2023 0 Comments Ascension hospitals![]() ![]() Specifically, hospitals in Medicaid expansion states saw a 7.4 percent increase in Medicaid discharge volumes from 2013 to 2014 (compared to 1.4 percent for hospitals in non-expansion states) and a 32.3 percent decrease in uninsured/self-pay discharge volumes (compared to a 4.4 percent decrease in non-expansion states). Compared to hospitals in states that did not expand Medicaid, Ascension Health hospitals in states that expanded Medicaid experienced larger increases in Medicaid discharge volumes and decreases in uninsured/self-pay volume from 2013 to 2014 (see Figure ES-1).In addition, the analysis compares changes among hospitals in states that expanded Medicaid with hospitals in states that did not expand Medicaid. The analysis examines changes in discharge volumes, hospital finances, and other outcomes between the last three quarters of 2013 – just before implementation of the ACA coverage expansions – and the first three quarters of 2014 (through September 30, 2014). Ascension is a Catholic healthcare system with service to the poor as an explicit part of their mission, providing almost $1.8 billion in care to persons living in poverty and other community benefit programs that include $600 million in direct charity care assistance to poor and uninsured patients in their 2014 fiscal year. This report examines the early experiences with the ACA by Ascension Health, the delivery subsidiary of the nation’s largest not-for-profit health system, Ascension, which includes 131 acute-care hospitals and more than 30 senior care facilities in 23 states and the District of Columbia. ![]() The size of the impact on specific hospitals will depend, among other factors, on whether hospitals are located in states that expanded Medicaid coverage through the ACA. While many people are focusing on how these changes affect public hospitals and large urban safety net systems, many not-for-profit hospitals that have a strong tradition and mission of caring for underserved populations also may be affected. DSH cuts were scheduled to begin in 2014 but were delayed to FY2018. In anticipation of higher revenues from patient care, the ACA calls for reductions in Medicaid Disproportionate Share Hospital (DSH) payments that support hospitals that serve a large number of Medicaid and uninsured patients to help cover the costs of uncompensated care. ![]() It also claims “loss of consortium” because of the impact on the woman and her husband.Expanded health insurance coverage through the Affordable Care Act (ACA) is having a major impact on many of the nation’s hospitals through increases in the demand for care, increased patient revenues, and lower uncompensated care costs for the uninsured. The lawsuit claims “medical negligence, ordinary negligence and premise liability” on the part of Ascension Via Christi. It was the hospital which then allowed him to stay in the room and continue assaulting a patient while wearing a t-shirt and basketball shorts because he claimed to be a nursing student.” “It was this hospital that let him in the door and into the patient rooms. Rodela is a threat to society and needs to be dealt with accordingly, but he never could have done this in a hospital with appropriate security,” Blake Shuart, Hutton & Hutton attorney, said. “No patient should ever have to face such a violation of their dignity and safety, let alone in a hospital setting,” Matt Dwyer, Hutton & Hutton attorney, said in a news release. That is when the alleged sexual assaults ended. According to the lawsuit, hospital security allegedly found the man on top of the third patient, lifting the patient’s clothing. ![]()
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