‘Milking Medicaid’ BGA report cited in ruling allowing safety net hospitals to sue over payments

‘Milking Medicaid’ BGA report cited in ruling allowing safety net hospitals to sue over payments

CHICAGO (TOC) — Earlier this week, a federal appeals court docket dominated an Illinois hospital can sue over Medicaid funds.

The choice comes after St. Anthony Hospital on Chicago’s Southwest Facet filed a lawsuit in opposition to state officers.

In its ruling, the court docket cited an investigation by the Higher Authorities Affiliation, “Milking Medicaid,” which appeared into the influence of privatizing the state’s well being care system.

The U.S. Courtroom of Appeals for the seventh Circuit dominated Saint Anthony Hospital “alleged a viable declare for reduction” when it sued state officers for not adequately overseeing the insurance coverage firms they contracted as managed care organizations, in keeping with the BGA.

“In nutshell, St. Anthony is saying that is actually a system that is largely bereft of presidency oversite, stated David Jackson of the BGA. “The for-profit firms, the insurance coverage companies, are boosting their income by denying and decreasing reimbursements to suppliers like St. Anthony’s.”

The choice opens the door for security internet hospitals for the underserved to get well hundreds of thousands of {dollars} in Medicaid funds.

“It is not simply some huge cash at stake,” stated Jackson. “These suppliers symbolize illinois’ most weak residents. Low ioncome households, foster youngsters, pregnant girls, aged individuals.

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