Monday, April 20, 2015
Reviewing Hospital Revenue Cycle Management amid Changing Regulations
With the changes to the Affordable Care Act underway, particularly with the reforms and expansions on Medicaid, now is the best time to review your hospital revenue cycle. So far, 28 states (plus the District of Columbia) have expanded Medicaid, particularly eligibility for Medicaid. This has made healthcare more accessible for underprivileged Americans. Under the Medicaid expansion, states can opt to cover people earning an income of over 138 percent of the federal poverty level, equivalent to $32,913 for a family of four. The aim is for the federal government to pay 100 percent of costs for those newly eligible people in 2016, until it shifts down to 90 percent in 2020 and in the coming years. The long-term goal is a healthier population, with fewer people being admitted to charity care and less strain on hospital budgets.