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ObamaCare Discuss ACA Beginning to Hurt Hospitals in States that Opted Out at the General Forum; Looks like the chickens are going to roost. Itsa shame that some small r's want their fellow citizens to suffer' ...

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Old 07-21-2014, 10:58 AM
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Default ACA Beginning to Hurt Hospitals in States that Opted Out

Looks like the chickens are going to roost. Itsa shame that some small r's want their fellow citizens to suffer' needlessly.


<Fitch Ratings-Chicago/New York-16 July 2014: Nonprofit hospitals and healthcare systems in states that have expanded their Medicaid coverage under the Patient Protection and Affordable Care Act (ACA) have begun to realize the benefit from increased insurance coverage, Fitch Ratings says. We expect providers in states that have chosen not to participate in expanded Medicaid eligibility to face increasing financial challenges in 2014 and beyond. >

<We expect these trends to continue and become more severe after 2014. The reimbursement reductions in ACA will be phased in over time. Hospitals and health systems will continue to feel the brunt of further reimbursement cuts to Medicare payments as well as expected reductions to federal funding of Medicaid disproportionate share in 2015 and 2016. >

https://www.fitchratings.com/gws/en/...%20Opted%20Out
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Old 07-22-2014, 06:47 PM
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Default Re: ACA Beginning to Hurt Hospitals in States that Opted Out

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The reimbursement reductions in ACA will be phased in over time. Hospitals and health systems will continue to feel the brunt of further reimbursement cuts to Medicare payments as well as expected reductions to federal funding of Medicaid disproportionate share in 2015 and 2016.
This is why hospitals and doctors are being hurt by Medicaid. Medicaid doesn't pay enough for them to exist and is why a lot of states opted out. The federal government has every intention of putting the burden on the states after the first 3 years of Obamacare.
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Old 07-22-2014, 07:06 PM
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Default Re: ACA Beginning to Hurt Hospitals in States that Opted Out

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This is why hospitals and doctors are being hurt by Medicaid. Medicaid doesn't pay enough for them to exist and is why a lot of states opted out. The federal government has every intention of putting the burden on the states after the first 3 years of Obamacare.
????
I thought the mantra of the right was LESS federal government.
The states should work this out because (supposedly ) the states can do it SOOOO much better than the federal government can.

So, now the story is that the federal government is hurting them more by giving them less?
What happened to the mantra of people being harmed by "dependence on the federal government" ?



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Originally Posted by treedancer
Looks like the chickens are going to roost. Itsa shame that some small r's want their fellow citizens to suffer' needlessly.
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Old 07-22-2014, 07:23 PM
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Default Re: ACA Beginning to Hurt Hospitals in States that Opted Out

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Originally Posted by 40yearfan View Post
This is why hospitals and doctors are being hurt by Medicaid. Medicaid doesn't pay enough for them to exist and is why a lot of states opted out. The federal government has every intention of putting the burden on the states after the first 3 years of Obamacare.
So you want the feds to step in?
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Old 07-22-2014, 09:29 PM
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Default Re: ACA Beginning to Hurt Hospitals in States that Opted Out

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????
I thought the mantra of the right was LESS federal government.
The states should work this out because (supposedly ) the states can do it SOOOO much better than the federal government can.

So, now the story is that the federal government is hurting them more by giving them less?
What happened to the mantra of people being harmed by "dependence on the federal government" ?




The states can't work it out because the Democrats saddled them with Obamacare. Obamacare cut payments to doctors and hospitals, so now people on Medicaid have few options as many places no longer accept Medicaid. If Obama and the Democrats hadn't screwed up our whole healthcare system just to accommodate 5% of the population, our rates wouldn't be skyrocketing with less doctors and much higher deductibles.
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Old 07-22-2014, 09:30 PM
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Default Re: ACA Beginning to Hurt Hospitals in States that Opted Out

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So you want the feds to step in?
Please show me where I said that?
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Old 07-22-2014, 10:03 PM
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Default Re: ACA Beginning to Hurt Hospitals in States that Opted Out

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Originally Posted by 40yearfan View Post
The states can't work it out because the Democrats saddled them with Obamacare. Obamacare cut payments to doctors and hospitals, so now people on Medicaid have few options as many places no longer accept Medicaid. If Obama and the Democrats hadn't screwed up our whole healthcare system just to accommodate 5% of the population, our rates wouldn't be skyrocketing with less doctors and much higher deductibles.
b.s.

The states couldn't "work it out" before Obamacare. Before Obamacare the prices were skyrocketing.

You guys look at a house already on fire, Obama trying to put it out, and then you blame all the fire damage on him while you offer nothing constructive.

The article's statements were clear.
Year to date, Fitch has downgraded 10 entities. Of those, five are in states that have not participated in expanded Medicaid coverage. Several of those downgrades were driven by operating performance declines related to funding and reimbursement pressures, which may have been lessened by Medicaid expansion. Conversely, of the nine upgrades since Jan. 1, eight were hospitals in states that have expanded Medicaid.

We expect these trends to continue and become more severe after 2014. The reimbursement reductions in ACA will be phased in over time. Hospitals and health systems will continue to feel the brunt of further reimbursement cuts to Medicare payments as well as expected reductions to federal funding of Medicaid disproportionate share in 2015 and 2016.
There are some red states that have refused to get on the life boat, and now they're having problems. There are improvements for states that have gotten on the life boat.

You can blame this on right-wing obstinance. Pure and simple.
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Last edited by foundit66; 07-22-2014 at 10:13 PM..
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Old 07-22-2014, 11:19 PM
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Default Re: ACA Beginning to Hurt Hospitals in States that Opted Out

None of this matters. ObamaCare will be 86'ed and sanity will be restored.

Decades from now the ACA will be a bad, distant memory, sorta like the first time your mother barged in your room and caught you rubbing one out.
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Old 07-22-2014, 11:46 PM
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Default Re: ACA Beginning to Hurt Hospitals in States that Opted Out

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None of this matters. ObamaCare will be 86'ed and sanity will be restored.

Decades from now the ACA will be a bad, distant memory, sorta like the first time your mother barged in your room and caught you rubbing one out.


Who ya goona believe? The Fourth Circuit Court ruled that the subsidies are legal, just a few hours after Halbig v. Burwell found a typo.

If it happens to make it to the Supremes, its dilemma time fer Chief Justice Roberts if he decides to cripple Bocare just a few years after rescuing it. What odds are yer givin that the Supremes duck this one?
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Old 07-22-2014, 11:53 PM
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Default Re: ACA Beginning to Hurt Hospitals in States that Opted Out

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Who ya goona believe? The Fourth Circuit Court ruled that the subsidies are legal, just a few hours after Halbig v. Burwell found a typo.

If it happens to make it to the Supremes, its dilemma time fer Chief Justice Roberts if he decides to cripple Bocare just a few years after rescuing it. What odds are yer givin that the Supremes duck this one?
Is that the new lib talking point? It was a "typo?"

There's a 0% chance the ACA will be around 5 years from now. It'll most likely be over and done with a lot sooner.
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