Prior to beginning work on this discussion, read the following:
Chapter 3, Chapter 4, and Chapter 5 in the textbook as well as the Week 2 instructor guidance.
Contractual Allowance vs. Bad Debt for Healthcare Providers (Links to an external site.)
Hospital Bad Debt Statistics (Links to an external site.)
Curbing Bad Debt by Improving the Patient Financial Experience (Links to an external site.)
Closing the Loop by Selling Bad Debt (Links to an external site.)
Create a Strong Workforce Through Diversity, Equity, and Inclusion (Links to an external site.)
Beyond the Medicare Annual Well Visit: Maximizing Revenue for Hospital-Owned Practices (Links to an external site.)
The course textbook indicates Medicare patients make up 42% of a hospital’s typical volume and Medicaid patients make up 16%. Both types of insurance coverage pay the hospitals less than what they spend on care for the patients. For Medicare the total shortfall for hospitals nationwide was $56.8 billion in 2019. For Medicaid the total shortfall for hospitals nationwide was $19 billion. Medicare pays 87 cents for every dollar spent on care. Medicaid pays 90 cents for every dollar spent on patient care (Epstein & Schneider, 2022). In addition, hospitals provide charity care, and some patients do not to pay toward their bills, which is considered bad debt.
For this discussion,
Evaluate why hospitals and medical organizations continue to accept patients who are covered by Medicare or Medicaid when they lose money on patient care costs.
Discuss ways you feel medical organizations can provide quality care for all patients or groups of people regardless of their health care coverage and ability to pay for care.