Medicaid disenrollments are a looming concern for hospitals already operating close to the margins, according to a new report by Kaufman Hall. For April, hospitals’ median year-to-date operating margin index was 0.0%. The analysis also highlights how continued high expenses and inflation are compounded by declining volume and increasing lengths of stay. At the same time, five states began to disenroll people from Medicaid in April, raising concerns about the impact of the unwinding of the Medicaid continuous coverage requirement of the COVID-19 public health emergency on patients and providers.  
  
“With states conducting their Medicaid eligibility redetermination, it’s predicted that hundreds of thousands of people will ultimately become uninsured,” said Kaufman Hall’s Erik Swanson. “The data indicate that we may already be seeing the effects of disenrollment materialize with patients less likely to seek out the care they need and a continued rise in bad debt and charity care.” 

Headline
The Department of Health and Human Services Administration for Community Living has launched the first phase of its Health at Home Challenge, a competition to…
Headline
The Medicaid and CHIP Payment and Access Commission approved recommendations it will issue to Congress in its June report on oversight and increased…
Headline
The AHA shared the following statement with the media in response to a report released May 7 by Families USA.   “This report is long on rhetoric and…
Headline
The AHA April 23 released a blog responding to a report issued April 22 by Paragon Health Institute. The blog highlights how the report relies on a long list…
Blog
Public
In think‑tank reports, like the one released this week by Paragon Health Institute, hospitals are often reduced to abstractions — payment rates, charts,…
Headline
The Centers for Medicare and Medicaid Services April 8 issued guidance on implementing a provision within the reconciliation bill passed in July 2025 regarding…