From Health Affairs Today <[email protected]>
Subject Hospitals: Lawsuits, Antitrust, and Critical Access In Medicaid Expansion States
Date December 7, 2021 11:07 PM
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Podcast: Lessons learned from the COVID-19 vaccine rollout in Florida
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The Latest Research, Commentary, And News From Health Affairs

Tuesday, December 7, 2021

Dear John,

Check out the new, redesigned Health Affairs home page
. It's more than just a new layout.
The new home page allows us to showcase the breadth of Health Affairs
content, including the latest blog posts
and podcasts
, as well as upcoming events
and ahead-of-print
articles.

Hospitals

Articles in the December issue discuss hospitals-lawsuits related to
unpaid bills, antitrust enforcement, and how Medicaid expansion impacts
critical access hospitals.  

For December's DataWatch article, Zack Cooper and coauthors analyzed
Wisconsin court records to document trends in hospital lawsuits

to recover patients' unpaid medical bills. The authors found that the

**number of these lawsuits increased by 37 percent in Wisconsin from
2001 to 2018**. Additionally, they discovered that there were 1.86
lawsuits per 1,000 Black residents, compared to 1.32 per 1,000
non-Hispanic White residents.

After examining the role of states

in antitrust enforcement, Brent Fulton and coauthors concluded that
"relatively few proposed hospital mergers were challenged under
antitrust laws or administrative merger review processes in the last ten
years, despite over 90 percent of MSAs [metropolitan statistical areas]
having a highly concentrated hospital market."  

Medicaid expansion has been found to improve hospital finances overall,
but critical access hospitals

face particular challenges with low operating margins. In their December
paper, Paula Chatterjee and coauthors reported that critical access
hospitals in Medicaid expansion states did not have statistically
significant increases in operating margins, staffing levels, or quality
measures relative to hospitals in nonexpansion states.

Read the entire December issue here
.

Today on Health Affairs Blog, Lisa Grabert and coauthors argue that
although COVID-19 waivers of Medicare post-acute care rules

have alleviated the patient burden for short-term acute care hospitals,
they should not be extended indefinitely because of the unknown
financial implications.

Everette James and Meredith Hughes discuss spousal impoverishment
protections
,
which are rooted in the belief that it is unconscionable to allow a
spouse to be reduced to poverty to provide long-term care services to
the other spouse.

Katie Keith discusses two new lawsuits

against the No Surprises Act that, if successful, would cause the
federal independent dispute resolution system to become more costly and
undermine the savings that Congress expected when the law was enacted.

Advertise with Health Affairs this month to take advantage of our
December promotion. Save $1,000: Bundle two branded posts and one weekly
banner ad on the blog. Learn more about advertising opportunities here.

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Your Daily Digest

Hospital Lawsuits Over Unpaid Bills Increased By 37 Percent In Wisconsin
From 2001 To 2018

Zack Cooper et al.

States' Merger Review Authority Is Associated With States Challenging
Hospital Mergers, But Prices Continue To Increase

Brent D. Fulton et al.

Medicaid Expansion Alone Not Associated With Improved Finances,
Staffing, Or Quality At Critical Access Hospitals

Paula Chatterjee et al.

COVID-19 Waivers Of Medicare Post-Acute Rules Increased Capacity But
Should Not Become Permanent

Lisa M. Grabert et al.

Making Spousal Impoverishment Protections Permanent

Everette James and Meredith Hughes

Doctors, Air Ambulance Operators Challenge Interpretation Of No
Surprises Act

Katie Keith

Podcast: Jennifer Attonito On Lessons Learned From The COVID-19 Vaccine
Rollout In Florida

Alan Weil and Jennifer Attonito

HEALTH AFFAIRS BRANDED POST:
Five Data Mindset Shifts Critical for Health Systems' Survival

Sponsored by HealthCatalyst

 

[link removed]

Jennifer Attonito On Lessons Learned From The COVID-19 Vaccine Rollout
In Florida

Listen to Health Affairs Editor-in-Chief Alan Weil interview Jennifer
Attonito from Florida Atlantic University on disparities in access to
COVID-19 vaccines during the initial vaccine rollout in Florida.

Listen Here

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