As comprehensive health care legislation is phased into effect, the healthcare industry continues to be under scrutiny for the cost of services, particularly those incurred by the uninsured and underinsured.
This criticism was a large driver in the passing of the Patient Protection and Affordable Care Act (PPACA; Public Law 111-148), which creates insurance exchanges and expands Medicaid to play a major role in covering more uninsured people. With enrollment in these programs expected to cover at least 19 million currently uninsured patients, hospitals are continually looking for new ways to assist patients in qualifying for government programs.
In recent years, an ever-increasing number of hospitals began using credit scoring to determine if a patient has a propensity to pay their bill, be eligible for government programs, or charity care. However, with Medicaid expanding and health insurance exchanges forming, does it make sense to continue using credit scores when they are not used in any government program’s application process?
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