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Medicaid overpayment problem threatens some W.Va. hospitals


The Charleston (W.Va.) Gazette Mail reports that some rural hospitals in that state might go bankrupt if the Feds try to force them to pay millions  of dollars in possible Medicaid overpayments.

The paper reported that Boone Memorial Hospital, Minnie Hamilton Health System, Roane General Hospital, Grafton City Hospital, Jackson General Hospital, Pocahontas Memorial Hospital and Sistersville General Hospital–might be compelled to repay Medicaid payments from the Disproportionate Share Hospital program (DSH). The DSH program is being phased out under the Affordable Care Act.

The problem is that all these hospitals have also runat least one rural health clinic. The Centers for Medicare & Medicaid Services is apparently taking back clinic-related DSH payments made to the hospitals from 2011 to 2015. The repayments would total $8 million, with repayments from individual hospitals  ranging from $28,000 to $1.8 million.

West Virginia is a poor state and so more than three-quarters of the patients are enrolled in Medicaid or lack insurance.

To read the article, please hit this link.


Ga. hospitals form alliance to press for Medicaid expansion


Georgia State Capitol.

Hospitals across Georgia have formed an alliance to address what are grave fiscal crises for many of them. The key goal is expanding Medicaid in the state –a  tough task in  Republican-dominated Georgia.

Becker’s Hospital Review noted that for “many years, many Georgia health facilities offset the cost of caring for the uninsured with Disproportionate Share Hospital payments. However, the Affordable Care Act calls for those payments to be phased out, and since Georgia has not expanded its Medicaid program, the state still has more than 400,000 uninsured residents, according to Atlanta Magazine.”

DSH payments are slated to end Jan. 1, 2018, and the loss of those funds is a cause of concern for large and small hospitals alike.”

Even large hospitals, such as Grady Memorial Hospital, in Atlanta, are  worried.  Consider that Grady’s mental-health clinic could be forced to close if it  can’t offset the loss of DSH payments.


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