Plan B Forum

"... The blue-red divide in Medicaid expansion

The Hospital Corporation of America, which has facilities in 20 states, reported a big gap in Medicaid and uninsured admissions between expansion and non-expansion states. In the four states it operates where Medicaid expanded under the ACA, the company saw a 22.3 percent growth in Medicaid admissions, compared to a 1.3 percent decline in non-expansion states. The company also had a 29 percent decline in uninsured admissions in the expansion states, while non-expansion states experienced 5.9 percent growth in uninsured admissions, chief financial officer William Rutherford said.

Community Health Systems, with facilities in 29 states, also noticed an expansion gap. In expansion states it serves, CHS said it saw self-pay admissions drop 28 percent while Medicaid admissions increased by 4 percent. Self-pay emergency room visits decreased 16 percent in expansion states, but they increased in non-expansion states, the company said in its earnings call last week.

Tenet Healthcare reported last week that it had a 17 percent increase in Medicaid inpatient visits while uninsured visits decreased 33 percent in the four expansion states where it operates. In non-expansion states, Medicaid admissions dropped 1 percent as uninsured care rose 2 percent. Tenet also said it's seeing that emergency room visits are continuing to rise. ..." .

You thought Healthcare.gov had problems?

A handful of state-run exchange websites—which cost nearly half a billion dollars to build—still don’t work, nearly seven months after they first went live.

Largely inoperable state exchange websites in Maryland, Massachusetts, Oregon and Nevada have racked up $474 million federal tax dollars so far, Politico first reported. The costs will continue to climb as states scramble to salvage the flailing websites or transition onto the federal exchange.

Maryland will spend an additional $40 million to save its website, which has already cost $90 million. Nevada has spent $50 million to date and will decide in the coming weeks how much more it will spend on repair efforts. Massachusetts will pour an additional $121 million into fixing its severely troubled state portal, while also using the federal portal as a back up plan.