Physician-owned hospitals are “not good for patients, communities, the integrity of the Medicare program, or providers who are actually in the business of caring for all patients, 24/7, regardless of their ability to pay or their medical condition,” the AHA and Federation of American Hospitals wrote today in a blog post.  
 
The blog highlights new data from the health care consulting firm Dobson | Davanzo reaffirming that POHs cherry-pick patients by avoiding the less profitable Medicaid and uninsured patients; treat fewer medically complex patients; and provide fewer emergency services and often rely on publicly funded 911 services and acute care, community hospitals for these services for their own patients. 
  
In addition, the blog highlights how the Centers for Medicare & Medicaid Services recently reinforced the need for the ban on new POHs and restrictions on the growth of existing facilities. In this month’s inpatient prospective payment system proposed rule, CMS proposed to reinstate program integrity restrictions for POHs approved as “high Medicaid facilities” due to the risk for patients and the Medicare program.   

Related News Articles

Perspective
Public
All of America’s hospitals and health systems, regardless of ownership status, size or location, provide a vast range of benefits, programs and essential…
Headline
The Healthcare Association of New York State Sept. 16 announced Bea Grause, R.N., its president and CEO, will retire in summer 2026. Grause was active for many…
Blog
Public
The Paragon Health Institute has published a series of new reports once again alleging large-scale “fraud” in health care. This time their target is enrollment…
Headline
The AHA Aug. 7 filed an amicus brief in the Supreme Court in defense of states’ affidavit of merit requirements in federal court, which require plaintiffs to…
Headline
The U.S. District Court for the Middle District of Tennessee June 30 denied a motion for a preliminary injunction by AbbVie in its lawsuit against the state’s…
Headline
A new AHA video highlights how Corewell Health is transforming youth behavioral health care access in rural Michigan through school-based clinics and…