Protecting Your Patients from Medicaid Cuts: The Highest and Best Use of Your Population Health Tools

Navigant National Advisor Jeff Goldsmith via Becker's Hospital Review

Much of the debate in Congress seems focused on the health insurance exchanges and subsidies that industry observers have underplayed the much larger hospital financial risk: phasing out ACA's 12-million-person Medicaid expansion and reducing future Medicaid funding streams for those who remain covered.

If enacted, these cuts could expose hospitals to significant financial harm, requiring a strategic response. The very population health tools that hospital leadership was hoping to use to generate margins in capitated Medicare or commercial insurance contracts may have a higher purpose: to protect disenfranchised Medicaid patients and the uninsured from harm, as well as protect hospital performance from more bad debts and lower Medicaid rates.

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