Oba­macare re­place­ment bill en­dan­gers hospi­tal fi­nances and rat­ings, agen­cies say

Modern Healthcare - - LATE NEWS - —Dave Barkholz

Leg­is­la­tion that dis­man­tles the Af­ford­able Care Act and passed through two key House com­mit­tees last week would hurt hos­pi­tals fi­nan­cially and pos­si­bly lead to debt down­grades, ac­cord­ing to Moody’s In­vestors Ser­vice and S&P Global Rat­ings. The bill re­lies on per capita Med­i­caid caps and tax cred­its in­stead of man­dates for in­di­vid­ual in­surance. The House GOP bill to re­peal and re­place Oba­macare is likely to leave more older and sicker Amer­i­cans un­able to af­ford in­surance than coax younger and health­ier peo­ple to buy cov­er­age, ac­cord­ing to S&P.

Over­all, the leg­is­la­tion “would re­duce the num­ber of peo­ple with health in­surance and in­crease bad debt and un­com­pen­sated care costs,” by freez­ing Med­i­caid ex­pan­sion in 2020, Moody’s said.

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