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| Medicaid reimbursement rates for nursing homes vary by state and are typically lower than private pay rates, covering around 70-80% of the actual cost of care. To offset the cost private pay rates are significantly higher.
A 2024 report indicated that the average nursing home in the US operates at a profit margin of 0.58%. With smaller rural nursing homes having a smaller profit than large urban settings
Hospitals will have to increase the cost to cash or insured patients. ER will become even busier since they cannot turn away anyone, even if they know they will not be able to pay. If a patient has medicade, they will go to a primary care doctor for a sore throat, if they don’t have medicade and can’t pay they will go to the ER. This results in higher costs to paying patients | |
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