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The Congressional Budget Office (CBO) projects the Hospital Insurance (HI) Trust Fund, which pays for hospital and most institutional services under Medicare Part A, will be depleted in 2027. If this occurs, full payments to providers for services covered under Part A would be delayed, which could ultimately harm the level of care patients receive. From 2022 to 2031, HI Trust Fund revenues are projected to fall $494 billion short of spending.
In this mixed methods analysis, we examine the effects of Medicaid Section 1115 waivers of retroactive eligibility on beneficiaries and providers. We use data from qualitative interviews with stakeholders in five states that implemented these waivers and an analysis of hospitals’ Medicare Cost Report data. For decades, states have experimented with limiting or eliminating retroactive eligibility under these waivers.
Across the nation, concerns are mounting that the need for hospital beds will overwhelm national capacity as the COVID-19 outbreak expands, putting severe strains on the health care system and limiting patient access to necessary care. Using data from the 2018 American Hospital Association Annual Survey, we present estimates of the number of occupied versus unoccupied beds at the national, state, and county levels.
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