The hospital will need staff members to care for an increasing number of patients, even though it won't get paid for many patients if certain ACA provisions are abolished and not replaced. Registered nurses are probably safe because the hospital has to comply with the state's mandatory nurse-to-patient ratios.
The hospital has an open-door policy for people regardless of their ability to pay and often accepts low-income patients transferred from other facilities. While some folks assume it's a public hospital, Doctors is a for-profit facility owned by
Kirk said the ACA reduced reimbursements to hospitals but provided coverage for more people. Starting in fall 2013, almost 17,000 county residents used Obamacare subsidies to buy affordable insurance and around 65,000 were enrolled in the ACA's
Doctors has picked up
"We still lose money on all of those patients. We just lose
Doctors accepts the Obamacare plans of three insurers in
Doctors has not seen a large number of patients with Obamacare insurance. On average, 3 percent of the 353 patients in the hospital have an Obamacare health plan. A broader look at hospital data in the
Kirk suggested adults with ACA coverage are a more healthy group of consumers, compared with the extremely poor and elderly, who are frequent users of hospital services.
A second financial blow would come if the Republican-led federal government does not reverse the hospital funding cuts in the ACA.
Kirk had no estimate on how many staff cuts would occur with an ACA repeal. It's safe to assume that Doctors and its investor-owned parent company would take a hard look at reducing costs, while maintaining the staff necessary for patient care.
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