Hospital Closures Due to Failure to Expand Medicaid

As a follow-up to my last post, Nothing is Impossible, a small item in Joe Paduda’s Managed Care Matters blog post this morning caught my eye.

It is important to note what Joe is saying, because those individuals I mentioned in my previous post who mock my idea, do not realize this one fact that Joe so rightly points out and may be the way medical travel for work comp can be accomplished.

Joe posed the question on his blog “What is happening in Health Care?” , and cites an article in Fierce Health about hospitals struggling in Kansas, Louisiana and Kentucky.

According to Joe, the ACA reduced Medicare and other funding for hospitals, on the anticipation that it would be replaced by increased Medicaid and private health insurance coverage, as well as a concomitant reduction in indigent care.

However, Joe goes on to say, when Kansas, and many other states rejected the expansion of Medicaid, the hospitals were left hanging. In Kansas alone, the drop in hospital revenue is almost a half-billion dollars.

In another article that Joe cites, the latest data suggests that 283 mostly-rural hospitals are in financial trouble; and that since 2010, 48 have closed.

He does not attribute this solely to a failure to expand Medicaid, but believes it certainly plays a major role.

This may have the potential to cost shift  to private insureds and workers’ comp in non-Medicaid expansions states, Joe adds, which brings me to my point about medical travel and workers’ comp.

If the articles from Fierce Health and Kaiser Health News are correct, then it would seem that injured workers needing surgeries for orthopedic injuries such as knees, hips, shoulders and back, as well as for repetitive injuries such as carpal tunnel will be unable to find qualified, open hospitals to perform those surgeries.

And coupled with the projected physician shortage, which is more acute in rural areas than in urban areas, and the increase number of people covered by the ACA, and seeking medical, alternatives such as medical travel will not only be practical, but an absolute necessity to provide quality care to those under-served regions of the country.

This is where medical travel would be of tremendous value to workers who live in those areas, as was the case with the employees of HSM, the company mentioned in the ABC News report I cited in my post, US Companies Look to ‘Medical Tourism’ to Cut Costs as well as in the Business Insurance article by Joanne Wojcik, back in December 2013.

So before anyone says it is too complicated and impossible, think about what I said in my last post and consider what I’ve said here. Nothing is impossible. It only seems that way because the wax in their ears has migrated to their brains.

And an additional shout out to Joe, here in South Florida, the weather is fine…today a balmy 80 degrees and partly sunny.

For those of you who are celebrating a holiday this weekend, A zisn Pesach and a Happy Easter.


I am willing to work with any broker, carrier, or employer who is sick and tired of being bled by the Wall Street vulture capitalists and the entire medico-legal system known as workers’ comp, to save money, and to provide the best care for their injured workers or their client’s employees, while at the same time, helping to break the monopoly of the American health care cartel.

Call me for more information, next steps, or connection strategies at (561) 738-0458 or (561) 603-1685, cell. Email me at: Ask me any questions you may have on how to save money on expensive surgeries under workers’ comp. Connect with me on LinkedIn and follow my blog at: Share this article, or leave a comment below.

This entry was posted in ACA, Affordable Care Act, Cost Shifiting, Hospitals, Medical Tourism, Medical Travel, Workers' Comp and tagged , , , , , , , , on by .

About Transforming Workers' Comp

Have worked in the Insurance and Risk Management industry for more than thirty years in New York, Florida and Texas in the Claims and Risk Management spheres, primarily in Workers’ Compensation Claims, Auto No-Fault and Property & Casualty Claims Administration and Claims Management. Have experience in Risk and Insurance Business Analysis, Risk Management Information Systems, and Insurance Data Processing and Data Management. Received my Master’s in Health Administration (MHA) degree from Florida Atlantic University in Boca Raton, Florida in December 2011. Received my Master of Arts (MA) degree in American History from New York University, and received my Bachelor of Arts (BA) degree in Liberal Arts (Political Science/History/Social Sciences) from SUNY Brockport. I have studied World History, Global Politics, and have a strong interest in the future of human civilization in all aspects; economic, political and social. I am looking for new opportunities that will utilize my previous experience and MHA degree. I am available for speaking engagements and am willing to travel. LinkedIn Profile: Resume:

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