Executives at three publicly traded hospital companies say they see clear signs that Patient Protection and Affordable Care Act (PPACA) is changing the mix of incoming patients.
The executives -- at HCA Holdings Inc. (NYSE:HCA), Tenet Healthcare (NYSE:THC), and Community Health Systems Inc. (NYSE:CYH) -- talked about the effects of PPACA recently during conference calls with securities analysts.
At Community Health, uninsured "self-pay" admissions in Medicaid expansion states accounted for just 5.3 percent of admissions, down from 7.1 percent in the first quarter of 2013, and Medicaid admissions increased to 23.3 percent, from 20.6 percent. In non-expansion states, the mix of self-pay and Medicaid admissions was about the same as it was a year earlier.
Community Health executives said they had a hard time getting enough information from health insurers about which patients had exchange QHP coverage -- or exchange and non-exchange QHP coverage -- to provide any statistics on patients with QHP coverage.