Impact of Insurance Expansion on Hospital Uncompensated Care Costs in 2014. III. Projecting the Change in Total Hospital Uncompensated Care Costs


In this section, we use existing data from Hospital Cost Reports to project how much lower hospital UCC costs likely will be in 2014 nationally compared to what they would have been without the coverage expansion, based on assumptions about the reduction in uninsured individuals and the growth in Medicaid coverage. It is necessary to project UCC because the Cost Reports are submitted to CMS with a substantial lag: though some hospitals have submitted reports for 2013, the latest comprehensive set of filings available are for fiscal year 2012. As a result, data reported via Hospital Cost Reports will not be available to directly measure any changes in UCC following the 2014 coverage expansion for at least one to two years.

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