Medicaid reimbursement rate gap grows again.Medicaid reimbursement Reimbursement
Payment made to someone for out-of-pocket expenses has incurred. rates continue to lag behind costs, with some states posting shortfalls nearly 20 percent of what they need to make ends meet, according to according to
1. As stated or indicated by; on the authority of: according to historians.
2. In keeping with: according to instructions.
3. a new survey by BDO Seidman BDO Seidman, LLP is the United States arm of BDO International, one of the largest accounting firms outside of the Big Four. History
BDO Seidman, LLP was founded as Seidman and Seidman in New York City in 1910 by Maximillian L. Seidman. .
The 2005 report, which used the most recent data available (2002), showed an average reimbursement shortfall of $12.58 per Medicaid patient per day. That's up from $11.55 in last year's report, which covered 2001 figures.
The Chicago-based accounting firm was commissioned by the American Health Care Association The American Health Care Association (AHCA) is non-profit federation of affiliated state health organizations, together representing more than 10,000 non-profit and for-profit assisted living, nursing facility, developmentally-disabled, and subacute care providers that care for (AHCA AHCA Agency for Health Care Administration
AHCA American Health Care Association
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AHCA Austin Healey Club of America ) in 2002 to measure the gap between the funding that nursing home providers receive from states through Medicaid and what the services actually cost providers. In that first report, the shortfall was $9.05 per day; the deficit has increased 39 percent since because rate increases have not kept pace with inflation, according to BDO Seidman.
The latest report was based upon data from 36 states, representing 86 percent of the Medicaid patient days nationwide, the firm reported. The biggest loser is New Hampshire New Hampshire, one of the New England states of the NE United States. It is bordered by Massachusetts (S), Vermont, with the Connecticut R. forming the boundary (W), the Canadian province of Quebec (NW), and Maine and a short strip of the Atlantic Ocean (E). , with a shortfall of $28.98 per patient per day. New Jersey was a close second at $27.85 per patient per day. Arizona was third at $23.19, according to the report.
Arthur O'Leary, first vice chairperson chairperson Chairman The head of an academic department. See 'Chair.', Cf Chief. of the New Hampshire Health Care Association in Concord, N.H., said the shortfall exerts pressure on the daily management of nursing centers. Facilities are unable to offer competitive salaries necessary to hold on to staff, leading to a lack of continuity of care for residents, he said.
"New Hampshire has a history of providing some of the best quality long term care in the country," O'Leary said. "Starting with being the first state to begin widespread restraint reduction back in the 1980s to today with Quality First initiatives, New Hampshire has been on the long term care cutting edge. The outrageous shortfall in funding has made it difficult to remain in a leadership role."
Medicaid reimbursement rates are set at different levels for each state based upon the "allowable costs" of providing care in that state, according to Hal Daub Harold John "Hal" Daub, Jr. (born April 23, 1941 in Fort Bragg, Cumberland County, North Carolina) is a politician and lawyer affiliated with the Republican Party. Daub was a collection attorney with Standard Chemical Company of Omaha for many years and served in the House of , AHCA's president and chief executive officer. Such costs include 24-hour nursing care; grooming Combining, consolidating and segregating network traffic using devices such as digital cross-connects, add/drop multiplexers and SONET switches. Grooming is a telephone term that typically refers to managing high-capacity lines between central offices, carriers, ISPs and very large , bathing and eating; medical supplies such as beds and wheelchairs; and social activities.
As a result, the allocated rates and their actual costs to states vary widely. For example, Missouri has one of the lowest reimbursement rates ($97.17 per patient per day), but its actual costs ($119.98) gave it the biggest percentage of shortfall at 23.5 percent.
In contrast, Connecticut has the third-highest reimbursement rate at $162.81 per patient per day but also one of the smallest shortfalls at 9.6 percent due to its $178.48 actual costs.
None of the 36 states tracked actually finished in the black in regard to costs, but a few came close. Alabama's shortfall was a mere 26 cents per patient per day. North Dakota North Dakota, state in the N central United States. It is bordered by Minnesota, across the Red River of the North (E), South Dakota (S), Montana (W), and the Canadian provinces of Saskatchewan and Manitoba (N). , at $2.06, and Texas at $2.70, were a distant second and third.
While not discounting BDO BDO Big Day Out (Australian music festival)
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BDO Big Dumb Object Seidman's findings, Hobart Harvey, vice president of financial services The examples and perspective in this article or section may not represent a worldwide view of the subject.
Please [ improve this article] or discuss the issue on the talk page. for the Virginia Health Care Association in Richmond, Va., noted that the picture may currently be different for many states, given that the fiscal data used is now three years old.
Virginia, he said, has been able to cut its shortfall dramatically since 2002, largely due to the support of that state's governor, Mark Warner Mark Robert Warner (born December 15, 1954) is an American businessman and politician from the U.S. Commonwealth of Virginia and a member of the Democratic Party. Warner is the immediate former governor of Virginia and the honorary chairman of the Forward Together PAC. . "We're estimating that as of 2004--our most recent data available--our shortfall was $6.75 per day, down from $11.64 (in the report), so that gives us some comfort," Harvey said. "It's not a total cure for our situation, but at least the trend for us is a positive one."
STILL COMING UP SHORT The 10 states with the least and worst daily Medicaid reimbursement shortfalls, according to the 2005 report by BDO Seidman: 10 Worst State Rate Cost Difference 1. New Hampshire $125.63 $154.61 -$28.98 2. New Jersey $142.41 $170.26 -$27.85 3. Arizona $112.43 $135.62 -$23.19 4. Missouri $97.17 $119.98 -$22.81 5. New York $173.55 $194.78 -$21.23 6. Rhode Island $132.9 $154.01 -$21.09 7. Massachusetts $139.31 $159.89 -$20.58 8. Delaware $165.33 $185.00 -$19.67 9. Utah $102.87 $119.75 -$16.88 10. South Dakota $90.69 $107.00 -$16.33 10 Smallest State Rate Cost Difference Arkansas $94.48 $94.74 -$0.26 North Dakota $125.37 $127.33 -$2.06 Texas $95.68 $98.31 -$2.70 Georgia $99.73 $102.69 -$2.96 Oklahoma $93.51 $97.90 -$4.39 Iowa $90.09 $99.08 -$5.99 Nebraska $121.15 $127.48 -$6.33 Ohio $146.52 $153.13 -$6.61 Maryland $154.14 $161.83 -$7.69 Florida $135.40 $143.47 -$8.07