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AHA: Hospitals Can Pay Patients' HIX Premiums


3 comments on "AHA: Hospitals Can Pay Patients' HIX Premiums"
Stuart Showalter (11/25/2013 at 11:08 AM)

The AHA advisory is basically their advocacy position. It remains an open question whether subsidizing an insured's premium would be a violation of the kickback laws (state or federal) or some other anti-fraud statute. Regardless of the opinion of AHA, HHS or the DOJ, it would ultimately be for the courts to decide. Using a charitable foundation may be an option, but I urge careful legal analysis on a case-by-case basis.
Martha Carlton (11/19/2013 at 3:07 PM)

How is this different from healthcare systems offering HMO policies through HIX for $1 per month? As long as the patients can choose where they access it seems like a in- win.
Manuel H. Moraleda (11/19/2013 at 11:26 AM)

Ultimately this money that the hospital is using comes from insured patients. Would the federal government provide a bailout later in the event that the insurance company is placed at financial risk and would consider bankruptcy ?