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Hospital Bad Debt and Charity Care Rising

Hospital bad debt and charity care are rising, according to a new report. Both are up five percent from October of 2024 to October of 2025 – and 40 percent greater than in 2022. Among the causes are natural demographic changes and post-COVID Medicaid redeterminations, the latter of which is leaving many low-income Americans without health insurance. The impact of rising bad debt and charity care are being felt most in the western U.S. And one bright spot: charity care and bad debt as a percentage of hospital gross revenue [...]

December 17, 2025|Categories: hospitals, Medicaid|Tags: hospital bad debt, hospital charity care, Medicaid eligibility redeterminations|

Hospitals Shedding Pediatric Services

More and more hospitals are shedding their less profitable pediatric services, a review of 20 years of hospital activity has revealed. Driven by a combination of staffing issues and low Medicaid payments, hospitals are increasingly closing some of their pediatric services, according to a review in the journal Pediatrics, which found that Among more than 3000 US hospitals, 26.7% provided minimal pediatric services in 2003, which increased to 65.0% in 2022… Learn more about the challenges hospitals face in providing care for children and the impact of 20 years of [...]

December 15, 2025|Categories: hospitals, Medicaid|Tags: Hospitals and pediatric services, Medicaid and pediatric services|

Federal Health Policy Update for December 11

The following is the latest health policy news from the federal government for December 5-11. Some of the language used below is taken directly from government documents. Congress The Senate voted today on competing proposals to address health care affordability: Democrats sought a clean extension of the Affordable Care Act premium tax credits set to expire on December 31 while Republicans tried to consolidate support around an alternative plan. Neither bill gained the 60-vote threshold needed for passage. In the House, Speaker Mike Johnson (R-LA) intends to bring a vote [...]

December 11, 2025|Categories: Affordable Care Act, Alternative payment models, Centers for Medicare & Medicaid Services, CMMI, Congress, hospitals, Medicaid, Medicare, Medicare disproportionate share, Medicare DSH, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC|Tags: Affordable Care Act, Affordable Care Act premium tax credit, Basic Health Program, CDC advisory committee on immunization practices, CMS and PEPPER, Department of Health and Human Services artificial intelligence strategy, Department of Health and Human Services’ Office of the Inspector General, FDA TEMPO Model, Health Savings Accounts, HHS AI strategy, HSAs, Increasing Organ Transplant Access Model, IOTA model, Medicaid eligibility community engagement requirements, Medicaid eligibility work requirements, Medicare ACCESS Model, Medicare Advancing Chronic Care with Effective Scalable Solutions Model, Medicare and rural emergency hospitals, Medicare and techology supported care options, Medicare home health payments, Medicare hospice payments, Medicare inpatient hospital payments, Medicare inpatient rehabilitation facility payments, Medicare outpatient dialysis payments, Medicare outpatient hospital payments, Medicare Payment Advisory Commission, Medicare site-neutral payments, Medicare skilled nursing facility payments, MedPAC, MedPAC Medicare payment recommendations, OPTN, organ procurement and transplantation network|

CMS Fleshes Out Medicaid Work Requirement

The Centers for Medicare & Medicaid Services has issued additional guidance to the states on how to implement the work and community engagements established as part of the criteria for Medicaid eligibility under H.R. 1, commonly known as the One Big Beautiful Bill Act, which was signed into law in July. The requirements seek to connect able-bodied, working-age adults with work and community engagement activities and reduce inappropriate Medicaid enrollment. The states are required to implement these requirements by January 1, 2027 but may do so sooner if they wish. [...]

December 11, 2025|Categories: Centers for Medicare & Medicaid Services, Medicaid|Tags: Medicaid eligibility criteria, Medicaid work and community engagement requirement, Medicaid work requirement|

MedPAC Discusses Preliminary 2027 Rate Recommendations

The members of the Medicare Payment Advisory Commission met virtually last week and reviewed and discussed preliminary proposals for 2027 Medicare rates and other Medicare payment issues. Leading the agenda for the two days of meetings was a review of the adequacy of current Medicare payments and discussion about rate 2027 rate recommendations for: hospital inpatient and outpatient services physician and other health professional services inpatient rehabilitation facility services skilled nursing facility services home health care services hospice services outpatient dialysis services MedPAC members also discussed: their mandated report on [...]

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