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Alabama creates more maternity care deserts as labor units are shuttered
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<blockquote data-quote="Hazelelponi" data-source="post: 77576359" data-attributes="member: 410853"><p>Since only 9% of Alabamas residents are completely uninsured but 50% of all births are Medicaid births I'd say the issue the article is bringing to the table is that Medicaid reimbursements are not high enough to cover costs.</p><p></p><p>Since the 9% figure of uninsured is information drawn from the census bureau we don't have any idea how that figure actually impacts births at all.</p><p></p><p>I'll quote the relevant portion from the article here again for everyone's benefit:</p><p></p><p>"<em>In some cases, keeping maternity units open is a financial challenge, since the departments aren’t always profitable, several Alabama physicians said. Around 9% of the state’s residents have no health insurance, according to a report from the Census Bureau, and almost half of the births in Alabama are covered by Medicaid. <strong>Reimbursements for that program can be substantially lower than for private insurance plans.</strong></em></p><p><em></em></p><p><em>“<strong>Nobody wants women and children to do poorly, but you also can’t lose money year over year on a service line</strong>,” said Dr. John Waits, CEO of the nonprofit Cahaba Medical Care, which runs medical clinics that take patients regardless of their ability to pay. Several of Cahaba’s physicians deliver babies at Princeton Baptist and Shelby Baptist. </em></p><p><em></em></p><p><em>“<strong>There’s something broken about the funding stream that helps us take care of our women and children</strong>,” Waits said.</em></p><p><em></em></p><p><em>Such challenges are not isolated to Alabama.</em>"</p><p></p><p></p><p>The quoted complaint above, from the article, specifically targets inadequate reimbursement from the government, while also bringing up it might not be a standalone issue in play with the hospital closures.</p></blockquote><p></p>
[QUOTE="Hazelelponi, post: 77576359, member: 410853"] Since only 9% of Alabamas residents are completely uninsured but 50% of all births are Medicaid births I'd say the issue the article is bringing to the table is that Medicaid reimbursements are not high enough to cover costs. Since the 9% figure of uninsured is information drawn from the census bureau we don't have any idea how that figure actually impacts births at all. I'll quote the relevant portion from the article here again for everyone's benefit: "[I]In some cases, keeping maternity units open is a financial challenge, since the departments aren’t always profitable, several Alabama physicians said. Around 9% of the state’s residents have no health insurance, according to a report from the Census Bureau, and almost half of the births in Alabama are covered by Medicaid. [B]Reimbursements for that program can be substantially lower than for private insurance plans.[/B] “[B]Nobody wants women and children to do poorly, but you also can’t lose money year over year on a service line[/B],” said Dr. John Waits, CEO of the nonprofit Cahaba Medical Care, which runs medical clinics that take patients regardless of their ability to pay. Several of Cahaba’s physicians deliver babies at Princeton Baptist and Shelby Baptist. “[B]There’s something broken about the funding stream that helps us take care of our women and children[/B],” Waits said. Such challenges are not isolated to Alabama.[/I]" The quoted complaint above, from the article, specifically targets inadequate reimbursement from the government, while also bringing up it might not be a standalone issue in play with the hospital closures. [/QUOTE]
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Alabama creates more maternity care deserts as labor units are shuttered
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