Impact of Insurance Expansion on Hospital Uncompensated Care Costs in 2014 (Color)

Impact of Insurance Expansion on Hospital Uncompensated Care Costs in 2014 (Color)

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This report summarizes research on the effect of the major health insurance coverage expansion under the Affordable Care Act (ACA) on the drivers of uncompensated care (UCC) and on hospital UCC costs. Hospital UCC costs totaled between $46 and $51 billion in 2012, according to the American Hospital Association (AHA) as well as data provided to the Center for Medicare and Medicaid Services (CMS) via Hospital Cost Reports. The Urban Institute reports that each individual uninsured for the full year of 2013 received $1,005 in implicitly subsidized uncompensated care, and that these costs totaled $49 billion nationwide in 2013. Though specific definitions differ, UCC is generally considered to be the unreimbursed cost of the care provided by hospitals to people who are uninsured, underinsured, or in some cases publicly insured. For the purposes of this report, we define hospital UCC costs as the combined total of bad debt and charity care. Bad debt refers to an amount hospitals anticipated receiving for services but in fact never received. Charity care is the value of services rendered for which hospitals never anticipated receiving payment, because the patient's inability to pay was determined early in the course of care; both of these sources of UCC are in large part generated by medically indigent or uninsured patients, though unrealized co-pays or deductibles for insured patients are also included in this calculation.
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Product details

  • Paperback | 28 pages
  • 215.9 x 279.4 x 1.78mm | 117.93g
  • Createspace
  • United States
  • English
  • colour illustrations
  • 1508507260
  • 9781508507260