For-Profit Hospital Chains Could Lose Billions Without Medicaid Expansion

There are eight national for-profit hospital chains based in or near Nashville, Tenn., and they stand to lose roughly $22.7 billion in 2014 alone if states decide to pass on the Medicaid expansion, according to a Nashville Business Journal report.

Currently, there are six states — Florida, Georgia, Louisiana, Mississippi, South Carolina and Texas — that have said they will opt out of the Medicaid expansion, which is part of the Patient Protection and Affordable Care Act. The publication looked at eight for-profit hospital operators based in the Nashville area: Ardent Health Services, Capella Healthcare, Community Health Systems, Hospital Corporation of America, IASIS Healthcare, LifePoint Hospitals, RegionalCare Hospital Partners and Vanguard Health Systems.


HCA stands to lose a significant chunk in Medicaid funds as roughly 60 percent of its hospitals are already in states that have said they would not expand Medicaid, according to the report. HCA operates several hospitals throughout Florida and Texas. CHS, LifePoint and IASIS would also miss out on large swaths of Medicaid funds, mostly due to their larger sizes.

Many states are still undecided on the expansion. Some, like Tennessee, have indicated they will wait until after the November elections to decide.

More Articles on For-Profit Hospitals:

Vanguard, Arizona Medicaid Extend Phoenix Health Plan Contract

Fitch: HCA's Liquidity Solid, But Near-Term Debt Causes Some Concern

Moody's: Universal Health Services' Acquisition Strategy May Limit Debt Repayment

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