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Hospitals Brace for More Patients Who Can’t Pay, Moody’s Says

Moody’s warns of more bad debt and self-pay patients after rule’s expiration

The Kaiser Family Foundation estimates between 5.3 and 14.2 million people could lose Medicaid coverage in the 12 months following an April 1 rule expiration

The Kaiser Family Foundation estimates between 5.3 and 14.2 million people could lose Medicaid coverage in the 12 months following an April 1 rule expiration

Millions of Americans are likely to lose Medicaid coverage this year. That’s bad news for hospitals as well as patients.

Hospitals will likely see bad debt soar when a pandemic-era rule expires allowing states to kick patients off Medicaid April 1, according to a January report from Moody’s Investors Service. The rule had encouraged states to keep beneficiaries continuously enrolled — regardless of eligibility — in order to receive higher reimbursements. Once states start trimming their rolls, however, hospital revenue is expected to decline as health-care providers will need to assume costs from an expected wave of uninsured patients.