Impact summary of 80 Kentucky counties with hospitals
-
Upload
courier-journal -
Category
Documents
-
view
213 -
download
0
Transcript of Impact summary of 80 Kentucky counties with hospitals
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 1/80
Adair
14,786
3,402
1,438
1,762
11,384
9.7%
11.9%
77.0%
2,660 $23,650,647
3,058 $7,358,571
73
$18,950,860
Total Population Under 65
Uninsured
Insured
Number Percent
23.0%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
5,718 $31,009,218Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
202 1.4%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Adair County there are currently 3402
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141438 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1762
will become eligible for Medicaid.
$43,981
$68,9622008
2007
$116,562
$83,4562010
2009
$82,9702011$395,931Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Adair County
Medicaid already plays a vital role in providing healthcareto Adair County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Adair County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Adair County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Adair County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Adair County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Adair County received
the following DSH amounts in recent years.
DSH Payments: Adair County
$640,303
$781,2542011
2010
$799,273
$684,6222013 (Estimate)
2012
$2,905,452Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Adair County should be preparing to absorb.
DSH Reductions: Adair County
$27,848
$83,5442017
2016
$259,914
$232,066
2019
2018
$840,080Total
YEAR DSH Payment
$23,2072014
$27,8482015
$185,6532020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 2/80
Allen
16,888
3,310
1,481
1,619
13,578
8.8%
9.6%
80.4%
2,127 $16,160,965
2,892 $7,251,476
33
$12,024,466
Total Population Under 65
Uninsured
Insured
Number Percent
19.6%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
5,019 $23,412,441Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
210 1.2%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Allen County there are currently 3310
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141481 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1619
will become eligible for Medicaid.
$39,759
$23,2012008
2007
$16,246
$10,2732010
2009
$13,7692011$103,248Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Allen County
Medicaid already plays a vital role in providing healthcareto Allen County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Allen County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Allen County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Allen County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Allen County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Allen County received
the following DSH amounts in recent years.
DSH Payments: Allen County
$412,072
$546,9472011
2010
$444,752
$457,3222013 (Estimate)
2012
$1,861,093Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Allen County should be preparing to absorb.
DSH Reductions: Allen County
$17,602
$52,8072017
2016
$164,290
$146,687
2019
2018
$531,009Total
YEAR DSH Payment
$14,6692014
$17,6022015
$117,3502020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 3/80
Barren
35,248
6,750
2,887
3,308
28,498
8.2%
9.4%
80.8%
4,868 $50,505,686
6,205 $15,432,605
206
$70,201,983
Total Population Under 65
Uninsured
Insured
Number Percent
19.2%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
11,073 $65,938,291Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
555 1.6%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Barren County there are currently 6750
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20142887 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 3308
will become eligible for Medicaid.
$103,163
$99,8162008
2007
$159,533
$151,3052010
2009
$154,1392011$667,956Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Barren County
Medicaid already plays a vital role in providing healthcareto Barren County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Barren County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Barren County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Barren County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Barren County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Barren County received
the following DSH amounts in recent years.
DSH Payments: Barren County
$743,113
$944,1322011
2010
$966,369
$771,7552013 (Estimate)
2012
$3,425,369Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Barren County should be preparing to absorb.
DSH Reductions: Barren County
$33,275
$99,8242017
2016
$310,565
$277,290
2019
2018
$1,003,790Total
YEAR DSH Payment
$27,7292014
$33,2752015
$221,8322020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 4/80
Bell
23,503
4,669
1,699
2,721
18,834
7.2%
11.6%
80.1%
6,349 $48,743,260
5,793 $11,509,551
181
$41,518,625
Total Population Under 65
Uninsured
Insured
Number Percent
19.9%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
12,142 $60,252,811Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
249 1.1%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Bell County there are currently 4669
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141699 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2721
will become eligible for Medicaid.
$45,340
$21,1632008
2007
$38,034
$41,2282010
2009
$76,9842011$222,749Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Bell County
Medicaid already plays a vital role in providing healthcareto Bell County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Bell County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Bell County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Bell County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Bell County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Bell County received
the following DSH amounts in recent years.
DSH Payments: Bell County
$1,194,186
$1,093,9002011
2010
$1,185,219
$1,162,5692013 (Estimate)
2012
$4,635,874Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Bell County should be preparing to absorb.
DSH Reductions: Bell County
$43,553
$130,6602017
2016
$406,497
$362,944
2019
2018
$1,313,857Total
YEAR DSH Payment
$36,2942014
$43,5532015
$290,3552020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 5/80
Boone
106,067
13,727
6,624
5,386
92,340
6.2%
5.1%
87.1%
5,497 $56,933,263
10,037 $23,900,212
269
$77,552,356
Total Population Under 65
Uninsured
Insured
Number Percent
12.9%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
15,534 $80,833,476Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
1,717 1.6%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Boone County there are currently 13727
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20146624 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 5386
will become eligible for Medicaid.
$333,040
$310,4692008
2007
$290,021
$618,0982010
2009
$794,5982011$2,346,226Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Boone County
Medicaid already plays a vital role in providing healthcareto Boone County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Boone County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Boone County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Boone County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Boone County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Boone County received
the following DSH amounts in recent years.
DSH Payments: Boone County
$1,795,959
$2,696,6252011
2010
$2,615,117
$2,539,2652013 (Estimate)
2012
$9,646,966Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Boone County should be preparing to absorb.
DSH Reductions: Boone County
$89,127
$267,3802017
2016
$831,848
$742,721
2019
2018
$2,688,651Total
YEAR DSH Payment
$74,2722014
$89,1272015
$594,1772020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 6/80
Bourbon
16,669
3,427
1,509
1,645
13,242
9.1%
9.9%
79.4%
1,899 $13,906,688
2,868 $7,009,519
56
$13,332,565
Total Population Under 65
Uninsured
Insured
Number Percent
20.6%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
4,767 $20,916,208Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
273 1.6%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Bourbon County there are currently
3427 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20141509 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1645
will become eligible for Medicaid.
$145,646
$172,8702008
2007
$234,273
$199,1432010
2009
$02011$751,933Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Bourbon County
Medicaid already plays a vital role in providing healthcareto Bourbon County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Bourbon County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Bourbon County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Bourbon County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Bourbon County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Bourbon County
received the following DSH amounts in recent years.
DSH Payments: Bourbon County
$308,616
$319,2212011
2010
$270,527
$321,5632013 (Estimate)
2012
$1,219,927Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Bourbon County should be preparing to absorb.
DSH Reductions: Bourbon County
$11,265
$33,7952017
2016
$105,140
$93,875
2019
2018
$339,827Total
YEAR DSH Payment
$9,3872014
$11,2652015
$75,1002020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 7/80
Boyd
39,270
6,783
2,792
3,394
32,487
7.1%
8.6%
82.7%
6,016 $54,237,056
6,515 $19,424,343
535
$125,659,688
Total Population Under 65
Uninsured
Insured
Number Percent
17.3%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
12,531 $73,661,399Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
597 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Boyd County there are currently 6783
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20142792 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 3394
will become eligible for Medicaid.
$148,515
$211,5222008
2007
$227,338
$393,3682010
2009
$234,3942011$1,215,137Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Boyd County
Medicaid already plays a vital role in providing healthcareto Boyd County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Boyd County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Boyd County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Boyd County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Boyd County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Boyd County received
the following DSH amounts in recent years.
DSH Payments: Boyd County
$3,703,231
$3,010,6602011
2010
$3,259,108
$3,713,7332013 (Estimate)
2012
$13,686,732Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Boyd County should be preparing to absorb.
DSH Reductions: Boyd County
$125,056
$375,1672017
2016
$1,167,187
$1,042,131
2019
2018
$3,772,515Total
YEAR DSH Payment
$104,2132014
$125,0562015
$833,7052020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 8/80
Boyle
21,795
3,980
1,774
1,876
17,815
8.1%
8.6%
81.7%
2,779 $28,557,491
3,576 $8,154,291
198
$53,162,834
Total Population Under 65
Uninsured
Insured
Number Percent
18.3%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
6,355 $36,711,783Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
330 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Boyle County there are currently 3980
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141774 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1876
will become eligible for Medicaid.
$131,406
$137,9942008
2007
$127,630
$108,1952010
2009
$241,9582011$747,183Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Boyle County
Medicaid already plays a vital role in providing healthcareto Boyle County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Boyle County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Boyle County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Boyle County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Boyle County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Boyle County received
the following DSH amounts in recent years.
DSH Payments: Boyle County
$1,484,180
$2,057,5772011
2010
$1,744,720
$1,780,0562013 (Estimate)
2012
$7,066,533Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Boyle County should be preparing to absorb.
DSH Reductions: Boyle County
$66,289
$198,8682017
2016
$618,701
$552,412
2019
2018
$1,999,731Total
YEAR DSH Payment
$55,2412014
$66,2892015
$441,9292020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 9/80
Breathitt
11,834
2,115
853
1,129
9,719
7.2%
9.5%
82.1%
3,731 $34,643,823
3,106 $7,894,202
76
$35,806,723
Total Population Under 65
Uninsured
Insured
Number Percent
17.9%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
6,837 $42,538,026Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
133 1.1%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Breathitt County there are currently
2115 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
2014853 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1129
will become eligible for Medicaid.
$31,605
$67,8932008
2007
$61,278
$88,9832010
2009
$74,2862011$324,046Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Breathitt County
Medicaid already plays a vital role in providing healthcareto Breathitt County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Breathitt County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Breathitt County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Breathitt County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Breathitt County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Breathitt County
received the following DSH amounts in recent years.
DSH Payments: Breathitt County
$466,330
$372,3712011
2010
$273,597
$608,3192013 (Estimate)
2012
$1,720,617Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Breathitt County should be preparing to absorb.
DSH Reductions: Breathitt County
$13,948
$41,8432017
2016
$130,177
$116,230
2019
2018
$420,752Total
YEAR DSH Payment
$11,6232014
$13,9482015
$92,9842020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 10/80
Breckinridge
16,638
3,549
1,521
1,771
13,089
9.1%
10.6%
78.7%
2,166 $17,321,776
2,968 $7,680,083
41
$10,301,076
Total Population Under 65
Uninsured
Insured
Number Percent
21.3%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
5,134 $25,001,860Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
257 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Breckinridge County there are currently
3549 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20141521 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1771
will become eligible for Medicaid.
$114,815
$140,0782008
2007
$135,955
$111,3562010
2009
$82,9552011$585,159Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Breckinridge County
Medicaid already plays a vital role in providing healthcareto Breckinridge County residents. The table below shows
the number of adults and children who received Medicaid
in 2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Breckinridge County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Breckinridge County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Breckinridge County jail. Your
local jailer should have specific information regardinghow much of this was for inpatient hospitalizations.
Breckinridge County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Breckinridge County
received the following DSH amounts in recent years.
DSH Payments: Breckinridge County
$127,517
$196,6742011
2010
$316,871
$374,9192013 (Estimate)
2012
$1,015,981Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Breckinridge County should be preparing to absorb.
DSH Reductions: Breckinridge County
$8,039
$24,1162017
2016
$75,027
$66,988
2019
2018
$242,496Total
YEAR DSH Payment
$6,6992014
$8,0392015
$53,5902020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 11/80
Caldwell
10,567
1,991
886
929
8,576
8.4%
8.8%
81.2%
1,455 $10,633,465
1,831 $3,505,741
38
$9,030,913
Total Population Under 65
Uninsured
Insured
Number Percent
18.8%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
3,286 $14,139,207Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
176 1.7%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Caldwell County there are currently
1991 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
2014886 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 929
will become eligible for Medicaid.
$4,879
$4,6992008
2007
$2,633
$6,3772010
2009
$11,6792011$30,267Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Caldwell County
Medicaid already plays a vital role in providing healthcareto Caldwell County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Caldwell County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Caldwell County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Caldwell County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Caldwell County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Caldwell County
received the following DSH amounts in recent years.
DSH Payments: Caldwell County
$157,271
$117,9942011
2010
$176,226
$168,7232013 (Estimate)
2012
$620,214Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Caldwell County should be preparing to absorb.
DSH Reductions: Caldwell County
$5,661
$16,9842017
2016
$52,840
$47,179
2019
2018
$170,787Total
YEAR DSH Payment
$4,7182014
$5,6612015
$37,7432020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 12/80
Calloway
28,761
5,515
2,222
2,887
23,246
7.7%
10.0%
80.8%
2,475 $23,259,340
3,731 $8,148,985
171
$27,501,357
Total Population Under 65
Uninsured
Insured
Number Percent
19.2%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
6,206 $31,408,325Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
406 1.4%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Calloway County there are currently
5515 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20142222 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2887
will become eligible for Medicaid.
$83,521
$53,7972008
2007
$75,410
$53,9472010
2009
$49,4472011$316,123Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Calloway County
Medicaid already plays a vital role in providing healthcareto Calloway County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Calloway County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Calloway County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Calloway County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Calloway County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Calloway County
received the following DSH amounts in recent years.
DSH Payments: Calloway County
$549,884
$612,5942011
2010
$668,200
$471,7042013 (Estimate)
2012
$2,302,382Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Calloway County should be preparing to absorb.
DSH Reductions: Calloway County
$22,956
$68,8672017
2016
$214,253
$191,297
2019
2018
$692,496Total
YEAR DSH Payment
$19,1302014
$22,9562015
$153,0382020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 13/80
Campbell
75,948
10,812
4,941
4,502
65,136
6.5%
5.9%
85.8%
5,284 $43,400,860
8,012 $18,899,035
222
$51,414,692
Total Population Under 65
Uninsured
Insured
Number Percent
14.2%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
13,296 $62,299,894Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
1,369 1.8%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Campbell County there are currently
10812 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20144941 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 4502
will become eligible for Medicaid.
$724,743
$996,3032008
2007
$999,132
$917,2572010
2009
$941,9072011$4,579,343Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Campbell County
Medicaid already plays a vital role in providing healthcareto Campbell County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Campbell County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Campbell County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Campbell County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Campbell County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Campbell County
received the following DSH amounts in recent years.
DSH Payments: Campbell County
$2,197,390
$2,514,1872011
2010
$2,436,338
$2,045,1262013 (Estimate)
2012
$9,193,041Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Campbell County should be preparing to absorb.
DSH Reductions: Campbell County
$89,631
$268,8922017
2016
$836,554
$746,923
2019
2018
$2,703,862Total
YEAR DSH Payment
$74,6922014
$89,6312015
$597,5392020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 14/80
Carroll
9,172
1,729
717
888
7,443
7.8%
9.7%
81.1%
1,414 $12,424,452
1,956 $5,563,874
38
$10,259,702
Total Population Under 65
Uninsured
Insured
Number Percent
18.9%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
3,370 $17,988,325Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
124 1.4%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Carroll County there are currently 1729
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
2014717 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 888
will become eligible for Medicaid.
$53,811
$66,2502008
2007
$66,464
$68,5042010
2009
$80,6842011$335,712Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Carroll County
Medicaid already plays a vital role in providing healthcareto Carroll County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Carroll County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Carroll County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Carroll County jail. Your local
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Carroll County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Carroll County received
the following DSH amounts in recent years.
DSH Payments: Carroll County
$341,391
$217,5532011
2010
$315,802
$376,2392013 (Estimate)
2012
$1,250,985Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Carroll County should be preparing to absorb.
DSH Reductions: Carroll County
$10,969
$32,9062017
2016
$102,376
$91,407
2019
2018
$330,893Total
YEAR DSH Payment
$9,1412014
$10,9692015
$73,1252020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 15/80
Casey
13,050
3,164
1,245
1,761
9,886
9.5%
13.5%
75.8%
2,570 $32,134,109
3,026 $6,558,808
42
$24,799,836
Total Population Under 65
Uninsured
Insured
Number Percent
24.2%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
5,596 $38,692,917Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
158 1.2%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Casey County there are currently 3164
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141245 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1761
will become eligible for Medicaid.
$288,845
$412,6222008
2007
$327,457
$405,2152010
2009
$385,1352011$1,819,274Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Casey County
Medicaid already plays a vital role in providing healthcareto Casey County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Casey County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Casey County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Casey County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Casey County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Casey County received
the following DSH amounts in recent years.
DSH Payments: Casey County
$396,933
$439,7552011
2010
$454,703
$424,0552013 (Estimate)
2012
$1,715,446Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Casey County should be preparing to absorb.
DSH Reductions: Casey County
$16,193
$48,5802017
2016
$151,138
$134,944
2019
2018
$488,498Total
YEAR DSH Payment
$13,4942014
$16,1932015
$107,9552020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 16/80
Christian
61,557
10,759
4,869
5,190
50,798
7.9%
8.4%
82.5%
5,747 $62,522,194
8,521 $15,179,286
221
$75,552,474
Total Population Under 65
Uninsured
Insured
Number Percent
17.5%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
14,268 $77,701,480Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
700 1.1%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Christian County there are currently
10759 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20144869 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 5190
will become eligible for Medicaid.
$231,719
$626,0292008
2007
$562,344
$687,6122010
2009
$520,0952011$2,627,799Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Christian County
Medicaid already plays a vital role in providing healthcareto Christian County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Christian County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Christian County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Christian County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Christian County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Christian County
received the following DSH amounts in recent years.
DSH Payments: Christian County
$759,868
$638,3552011
2010
$557,157
$715,9852013 (Estimate)
2012
$2,671,365Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Christian County should be preparing to absorb.
DSH Reductions: Christian County
$24,519
$73,5582017
2016
$228,847
$204,328
2019
2018
$739,667Total
YEAR DSH Payment
$20,4332014
$24,5192015
$163,4622020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 17/80
Clark
30,152
5,336
2,299
2,537
24,816
7.6%
8.4%
82.3%
3,572 $33,855,095
4,947 $12,086,378
137
$43,430,846
Total Population Under 65
Uninsured
Insured
Number Percent
17.7%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
8,519 $45,941,473Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
500 1.7%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Clark County there are currently 5336
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20142299 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2537
will become eligible for Medicaid.
$105,304
$138,6302008
2007
$157,624
$188,4512010
2009
$180,6932011$770,702Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Clark County
Medicaid already plays a vital role in providing healthcareto Clark County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Clark County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Clark County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Clark County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Clark County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Clark County received
the following DSH amounts in recent years.
DSH Payments: Clark County
$1,436,610
$1,250,6002011
2010
$753,471
$1,271,6962013 (Estimate)
2012
$4,712,377Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Clark County should be preparing to absorb.
DSH Reductions: Clark County
$43,144
$129,4332017
2016
$402,679
$359,535
2019
2018
$1,301,516Total
YEAR DSH Payment
$35,9532014
$43,1442015
$287,6282020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 18/80
Clay
17,011
3,036
1,183
1,663
13,975
7.0%
9.8%
82.2%
5,814 $46,205,881
4,506 $10,760,337
100
$35,916,917
Total Population Under 65
Uninsured
Insured
Number Percent
17.8%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
10,320 $56,966,218Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
190 1.1%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Clay County there are currently 3036
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141183 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1663
will become eligible for Medicaid.
$213,589
$240,7522008
2007
$251,288
$246,6232010
2009
$186,3132011$1,138,565Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Clay County
Medicaid already plays a vital role in providing healthcareto Clay County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Clay County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Clay County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Clay County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Clay County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Clay County received
the following DSH amounts in recent years.
DSH Payments: Clay County
$503,121
$738,6652011
2010
$1,084,811
$939,2322013 (Estimate)
2012
$3,265,829Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Clay County should be preparing to absorb.
DSH Reductions: Clay County
$29,174
$87,5232017
2016
$272,293
$243,118
2019
2018
$880,089Total
YEAR DSH Payment
$24,3122014
$29,1742015
$194,4952020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 19/80
Clinton
8,482
1,791
718
999
6,691
8.5%
11.8%
78.9%
1,970 $15,145,259
2,167 $4,933,001
33
$12,677,678
Total Population Under 65
Uninsured
Insured
Number Percent
21.1%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
4,137 $20,078,260Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
74 0.9%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Clinton County there are currently 1791
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
2014718 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 999
will become eligible for Medicaid.
$25,487
$29,0932008
2007
$45,515
$18,6992010
2009
$19,9262011$138,721Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Clinton County
Medicaid already plays a vital role in providing healthcareto Clinton County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Clinton County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Clinton County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Clinton County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Clinton County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Clinton County
received the following DSH amounts in recent years.
DSH Payments: Clinton County
$260,967
$210,6432011
2010
$207,151
$179,0722013 (Estimate)
2012
$857,833Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Clinton County should be preparing to absorb.
DSH Reductions: Clinton County
$8,511
$25,5342017
2016
$79,439
$70,927
2019
2018
$256,757Total
YEAR DSH Payment
$7,0932014
$8,5112015
$56,7422020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 20/80
Crittenden
7,452
1,547
678
754
5,905
9.1%
10.1%
79.2%
872 $8,367,282
1,048 $2,212,193
33
$6,628,770
Total Population Under 65
Uninsured
Insured
Number Percent
20.8%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
1,920 $10,579,475Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
115 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Crittenden County there are currently
1547 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
2014678 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 754
will become eligible for Medicaid.
$5,858
$70,0952008
2007
$114,216
$139,7472010
2009
$121,7162011$451,633Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Crittenden County
Medicaid already plays a vital role in providing healthcareto Crittenden County residents. The table below shows
the number of adults and children who received Medicaid
in 2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Crittenden County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Crittenden County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Crittenden County jail. Your local
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Crittenden County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Crittenden County
received the following DSH amounts in recent years.
DSH Payments: Crittenden County
$261,266
$199,1402011
2010
$245,030
$235,8512013 (Estimate)
2012
$941,287Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Crittenden County should be preparing to absorb.
DSH Reductions: Crittenden County
$8,846
$26,5372017
2016
$82,560
$73,715
2019
2018
$266,847Total
YEAR DSH Payment
$7,3712014
$8,8462015
$58,9722020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 21/80
Cumberland
5,543
1,273
494
717
4,270
8.9%
12.9%
77.0%
1,332 $14,185,749
1,356 $3,610,430
26
$11,208,764
Total Population Under 65
Uninsured
Insured
Number Percent
23.0%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
2,688 $17,796,179Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
62 1.1%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Cumberland County there are currently
1273 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
2014494 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 717
will become eligible for Medicaid.
$21,635
$20,5702008
2007
$13,221
$262010
2009
$02011$55,452Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Cumberland County
Medicaid already plays a vital role in providing healthcareto Cumberland County residents. The table below shows
the number of adults and children who received Medicaid
in 2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Cumberland County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Cumberland County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Cumberland County jail. Your
local jailer should have specific information regardinghow much of this was for inpatient hospitalizations.
Cumberland County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Cumberland County
received the following DSH amounts in recent years.
DSH Payments: Cumberland County
$266,423
$272,3212011
2010
$198,388
$156,5242013 (Estimate)
2012
$893,656Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Cumberland County should be preparing to absorb.
DSH Reductions: Cumberland County
$9,243
$27,7302017
2016
$86,270
$77,027
2019
2018
$278,837Total
YEAR DSH Payment
$7,7032014
$9,2432015
$61,6212020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 22/80
Daviess
80,475
12,124
5,659
5,358
68,351
7.0%
6.7%
84.9%
9,291 $101,855,788
13,168 $47,022,760
522
$184,268,849
Total Population Under 65
Uninsured
Insured
Number Percent
15.1%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
22,459 $148,878,547Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
1,107 1.4%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Daviess County there are currently
12124 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20145659 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 5358
will become eligible for Medicaid.
$649,052
$753,1612008
2007
$0
$752,9022010
2009
$819,7772011$2,974,892Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Daviess County
Medicaid already plays a vital role in providing healthcareto Daviess County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Daviess County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Daviess County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Daviess County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Daviess County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Daviess County
received the following DSH amounts in recent years.
DSH Payments: Daviess County
$2,133,225
$2,043,2902011
2010
$1,845,717
$1,851,9612013 (Estimate)
2012
$7,874,193Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Daviess County should be preparing to absorb.
DSH Reductions: Daviess County
$75,515
$226,5462017
2016
$704,810
$629,295
2019
2018
$2,278,047Total
YEAR DSH Payment
$62,9292014
$75,5152015
$503,4362020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 23/80
Estill
12,313
2,351
927
1,278
9,962
7.5%
10.4%
80.9%
2,768 $21,123,502
2,652 $6,142,166
56
$14,909,439
Total Population Under 65
Uninsured
Insured
Number Percent
19.1%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
5,420 $27,265,668Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
146 1.2%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Estill County there are currently 2351
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
2014927 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1278
will become eligible for Medicaid.
$21,139
$14,6672008
2007
$26,794
$29,4292010
2009
$46,0232011$138,052Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Estill County
Medicaid already plays a vital role in providing healthcareto Estill County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Estill County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Estill County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Estill County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Estill County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Estill County received
the following DSH amounts in recent years.
DSH Payments: Estill County
$401,747
$592,3532011
2010
$632,519
$820,7472013 (Estimate)
2012
$2,447,366Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Estill County should be preparing to absorb.
DSH Reductions: Estill County
$20,397
$61,1912017
2016
$190,371
$169,974
2019
2018
$615,306Total
YEAR DSH Payment
$16,9972014
$20,3972015
$135,9792020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 24/80
Fayette
252,932
46,721
19,219
22,966
206,211
7.6%
9.1%
81.5%
17,314 $171,757,196
28,369 $84,077,536
2,801
$510,806,950
Total Population Under 65
Uninsured
Insured
Number Percent
18.5%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
45,683 $255,834,732Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
4,536 1.8%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Fayette County there are currently
46721 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
201419219 of those people will have access to subsidized
insurance through the Health Benefits Exchange and
22966 will become eligible for Medicaid.
$2,713,054
$2,796,9632008 (Estimate)
2007 (Estimate)
$2,883,467
$3,284,7762010
2009
$3,321,2472011$14,999,507Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Fayette County
Medicaid already plays a vital role in providing healthcareto Fayette County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Fayette County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Fayette County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Fayette County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Fayette County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Fayette County
received the following DSH amounts in recent years.
DSH Payments: Fayette County
$32,550,799
$30,848,7162011
2010
$34,142,793
$33,543,0552013 (Estimate)
2012
$131,085,363Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Fayette County should be preparing to absorb.
DSH Reductions: Fayette County
$1,223,125
$3,669,3762017
2016
$11,415,835
$10,192,710
2019
2018
$36,897,610Total
YEAR DSH Payment
$1,019,2712014
$1,223,1252015
$8,154,1682020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 25/80
Fleming
12,215
2,668
1,137
1,347
9,547
9.3%
11.0%
78.2%
1,774 $13,395,655
2,115 $4,621,084
38
$9,578,042
Total Population Under 65
Uninsured
Insured
Number Percent
21.8%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
3,889 $18,016,739Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
184 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Fleming County there are currently 2668
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141137 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1347
will become eligible for Medicaid.
$6,479
$36,4942008
2007
$52,192
$23,8812010
2009
$33,5872011$152,633Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Fleming County
Medicaid already plays a vital role in providing healthcareto Fleming County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Fleming County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Fleming County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Fleming County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Fleming County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Fleming County
received the following DSH amounts in recent years.
DSH Payments: Fleming County
$474,844
$427,9792011
2010
$445,971
$445,2542013 (Estimate)
2012
$1,794,048Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Fleming County should be preparing to absorb.
DSH Reductions: Fleming County
$16,913
$50,7392017
2016
$157,856
$140,943
2019
2018
$510,212Total
YEAR DSH Payment
$14,0942014
$16,9132015
$112,7542020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 26/80
Floyd
33,683
6,370
2,491
3,356
27,313
7.4%
10.0%
81.1%
8,369 $66,856,038
7,834 $18,416,884
228
$85,188,938
Total Population Under 65
Uninsured
Insured
Number Percent
18.9%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
16,203 $85,272,921Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
523 1.6%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Floyd County there are currently 6370
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20142491 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 3356
will become eligible for Medicaid.
$64,900
$38,4972008
2007
$55,908
$81,8152010
2009
$117,3422011$358,462Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Floyd County
Medicaid already plays a vital role in providing healthcareto Floyd County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Floyd County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Floyd County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Floyd County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Floyd County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Floyd County received
the following DSH amounts in recent years.
DSH Payments: Floyd County
$3,350,836
$3,354,2872011
2010
$2,959,037
$3,355,7482013 (Estimate)
2012
$13,019,908Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Floyd County should be preparing to absorb.
DSH Reductions: Floyd County
$121,183
$363,5492017
2016
$1,131,042
$1,009,859
2019
2018
$3,655,690Total
YEAR DSH Payment
$100,9862014
$121,1832015
$807,8872020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 27/80
Franklin
40,487
7,043
3,102
3,192
33,444
7.7%
7.9%
82.6%
4,959 $44,491,532
6,026 $16,728,820
207
$184,361,966
Total Population Under 65
Uninsured
Insured
Number Percent
17.4%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
10,985 $61,220,352Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
749 1.8%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Franklin County there are currently 7043
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20143102 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 3192
will become eligible for Medicaid.
$431,747
$443,0952008
2007
$383,633
$381,8942010
2009
$353,2722011$1,993,641Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Franklin County
Medicaid already plays a vital role in providing healthcareto Franklin County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Franklin County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Franklin County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Franklin County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Franklin County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Franklin County
received the following DSH amounts in recent years.
DSH Payments: Franklin County
$611,111
$550,1382011
2010
$659,614
$498,6852013 (Estimate)
2012
$2,319,548Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Franklin County should be preparing to absorb.
DSH Reductions: Franklin County
$22,833
$68,4982017
2016
$213,104
$190,272
2019
2018
$688,783Total
YEAR DSH Payment
$19,0272014
$22,8332015
$152,2172020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 28/80
Fulton
5,197
942
351
542
4,255
6.8%
10.4%
81.9%
1,199 $8,120,561
1,218 $2,080,029
38
$7,097,287
Total Population Under 65
Uninsured
Insured
Number Percent
18.1%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
2,417 $10,200,590Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
49 0.9%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Fulton County there are currently 942
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
2014351 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 542
will become eligible for Medicaid.
$236,369
$204,8212008
2007
$219,370
$315,9442010
2009
$411,7172011$1,388,221Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Fulton County
Medicaid already plays a vital role in providing healthcareto Fulton County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Fulton County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Fulton County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Fulton County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Fulton County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Fulton County received
the following DSH amounts in recent years.
DSH Payments: Fulton County
$124,851
$111,2062011
2010
$75,712
$60,8432013 (Estimate)
2012
$372,612Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Fulton County should be preparing to absorb.
DSH Reductions: Fulton County
$3,909
$11,7282017
2016
$36,488
$32,578
2019
2018
$117,934Total
YEAR DSH Payment
$3,2582014
$3,9092015
$26,0632020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 29/80
Grant
21,522
4,022
1,857
1,821
17,500
8.6%
8.5%
81.3%
2,726 $20,709,353
4,365 $10,300,267
41
$16,227,549
Total Population Under 65
Uninsured
Insured
Number Percent
18.7%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
7,091 $31,009,619Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
344 1.6%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Grant County there are currently 4022
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141857 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1821
will become eligible for Medicaid.
$422,285
$395,2212008
2007
$468,186
$412,3322010
2009
$403,8592011$2,101,883Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Grant County
Medicaid already plays a vital role in providing healthcareto Grant County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Grant County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Grant County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Grant County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Grant County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Grant County received
the following DSH amounts in recent years.
DSH Payments: Grant County
$836,017
$800,2552011
2010
$838,726
$743,6242013 (Estimate)
2012
$3,218,622Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Grant County should be preparing to absorb.
DSH Reductions: Grant County
$31,035
$93,1052017
2016
$289,661
$258,626
2019
2018
$936,225Total
YEAR DSH Payment
$25,8632014
$31,0352015
$206,9002020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 30/80
Graves
30,616
6,603
2,836
3,241
24,013
9.3%
10.6%
78.4%
3,903 $39,410,917
5,431 $11,318,165
118
$39,477,827
Total Population Under 65
Uninsured
Insured
Number Percent
21.6%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
9,334 $50,729,082Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
526 1.7%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Graves County there are currently 6603
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20142836 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 3241
will become eligible for Medicaid.
$50,127
$75,5242008
2007
$83,561
$109,5822010
2009
$110,7312011$429,525Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Graves County
Medicaid already plays a vital role in providing healthcareto Graves County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Graves County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Graves County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Graves County jail. Your local
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Graves County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Graves County received
the following DSH amounts in recent years.
DSH Payments: Graves County
$614,292
$637,4612011
2010
$580,408
$636,3742013 (Estimate)
2012
$2,468,535Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Graves County should be preparing to absorb.
DSH Reductions: Graves County
$22,974
$68,9232017
2016
$214,426
$191,452
2019
2018
$693,057Total
YEAR DSH Payment
$19,1452014
$22,9742015
$153,1622020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 31/80
Grayson
21,209
4,419
1,865
2,254
16,790
8.8%
10.6%
79.2%
3,354 $28,208,771
4,221 $13,265,967
85
$21,706,952
Total Population Under 65
Uninsured
Insured
Number Percent
20.8%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
7,575 $41,474,738Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
300 1.4%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Grayson County there are currently 4419
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141865 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2254
will become eligible for Medicaid.
$304,485
$158,5232008
2007
$192,011
$238,8422010
2009
$203,8922011$1,097,753Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Grayson County
Medicaid already plays a vital role in providing healthcareto Grayson County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Grayson County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Grayson County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Grayson County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Grayson County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Grayson County
received the following DSH amounts in recent years.
DSH Payments: Grayson County
$293,088
$351,3642011
2010
$178,799
$386,2832013 (Estimate)
2012
$1,209,534Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Grayson County should be preparing to absorb.
DSH Reductions: Grayson County
$10,323
$30,9692017
2016
$96,349
$86,026
2019
2018
$311,414Total
YEAR DSH Payment
$8,6032014
$10,3232015
$68,8212020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 32/80
Green
9,255
1,955
855
965
7,300
9.2%
10.4%
78.9%
1,510 $16,539,575
1,728 $3,935,784
51
$17,213,987
Total Population Under 65
Uninsured
Insured
Number Percent
21.1%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
3,238 $20,475,359Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
135 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Green County there are currently 1955
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
2014855 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 965
will become eligible for Medicaid.
$5,256
$5,6692008
2007
$13,595
$2,6632010
2009
$02011$27,184Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Green County
Medicaid already plays a vital role in providing healthcareto Green County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Green County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Green County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Green County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Green County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Green County received
the following DSH amounts in recent years.
DSH Payments: Green County
$182,478
$442,1962011
2010
$498,298
$377,1992013 (Estimate)
2012
$1,500,171Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Green County should be preparing to absorb.
DSH Reductions: Green County
$14,081
$42,2442017
2016
$131,427
$117,345
2019
2018
$424,790Total
YEAR DSH Payment
$11,7352014
$14,0812015
$93,8762020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 33/80
Hardin
91,693
14,376
6,337
6,832
77,317
6.9%
7.5%
84.3%
7,227 $67,428,503
12,077 $40,136,901
415
$132,920,432
Total Population Under 65
Uninsured
Insured
Number Percent
15.7%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
19,304 $107,565,405Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
1,207 1.3%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Hardin County there are currently 14376
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20146337 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 6832
will become eligible for Medicaid.
$902,954
$785,4052008
2007
$787,008
$817,6202010
2009
$922,7162011$4,215,703Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Hardin County
Medicaid already plays a vital role in providing healthcareto Hardin County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Hardin County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Hardin County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Hardin County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Hardin County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Hardin County received
the following DSH amounts in recent years.
DSH Payments: Hardin County
$2,924,294
$2,737,8922011
2010
$2,331,681
$2,538,9972013 (Estimate)
2012
$10,532,864Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Hardin County should be preparing to absorb.
DSH Reductions: Hardin County
$100,239
$300,7162017
2016
$935,560
$835,321
2019
2018
$3,023,863Total
YEAR DSH Payment
$83,5322014
$100,2392015
$668,2572020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 34/80
Harlan
24,820
4,937
1,933
2,676
19,883
7.8%
10.8%
80.1%
5,731 $50,151,961
5,717 $11,963,796
113
$44,964,509
Total Population Under 65
Uninsured
Insured
Number Percent
19.9%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
11,448 $62,115,757Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
328 1.3%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Harlan County there are currently 4937
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141933 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2676
will become eligible for Medicaid.
$68,539
$114,0882008
2007
$146,699
$106,7552010
2009
$286,4112011$722,492Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Harlan County
Medicaid already plays a vital role in providing healthcareto Harlan County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Harlan County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Harlan County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Harlan County jail. Your local
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Harlan County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Harlan County received
the following DSH amounts in recent years.
DSH Payments: Harlan County
$1,912,809
$1,555,3002011
2010
$1,715,840
$1,451,0922013 (Estimate)
2012
$6,635,041Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Harlan County should be preparing to absorb.
DSH Reductions: Harlan County
$65,004
$195,0112017
2016
$606,702
$541,698
2019
2018
$1,960,947Total
YEAR DSH Payment
$54,1702014
$65,0042015
$433,3592020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 35/80
Harrison
15,883
2,794
1,293
1,263
13,089
8.1%
8.0%
82.4%
1,988 $16,549,274
2,458 $5,825,429
71
$17,582,826
Total Population Under 65
Uninsured
Insured
Number Percent
17.6%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
4,446 $22,374,703Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
238 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Harrison County there are currently
2794 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20141293 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1263
will become eligible for Medicaid.
$32,597
$20,4092008
2007
$8,029
$17,2512010
2009
$19,1722011$97,456Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Harrison County
Medicaid already plays a vital role in providing healthcareto Harrison County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Harrison County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Harrison County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Harrison County jail. Your local
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Harrison County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Harrison County
received the following DSH amounts in recent years.
DSH Payments: Harrison County
$619,272
$568,6282011
2010
$884,408
$963,3622013 (Estimate)
2012
$3,035,670Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Harrison County should be preparing to absorb.
DSH Reductions: Harrison County
$25,986
$77,9572017
2016
$242,532
$216,546
2019
2018
$783,898Total
YEAR DSH Payment
$21,6552014
$25,9862015
$173,2372020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 36/80
Hart
15,346
3,159
1,305
1,678
12,187
8.5%
10.9%
79.4%
2,515 $19,540,669
2,978 $7,284,803
56
$12,699,576
Total Population Under 65
Uninsured
Insured
Number Percent
20.6%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
5,493 $26,825,472Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
176 1.1%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Hart County there are currently 3159
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141305 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1678
will become eligible for Medicaid.
$268,261
$274,7822008
2007
$243,232
$244,5782010
2009
$246,3082011$1,277,161Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Hart County
Medicaid already plays a vital role in providing healthcareto Hart County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Hart County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Hart County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Hart County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Hart County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Hart County received
the following DSH amounts in recent years.
DSH Payments: Hart County
$164,953
$116,9922011
2010
$148,909
$125,9952013 (Estimate)
2012
$556,849Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Hart County should be preparing to absorb.
DSH Reductions: Hart County
$5,403
$16,2082017
2016
$50,425
$45,022
2019
2018
$162,980Total
YEAR DSH Payment
$4,5022014
$5,4032015
$36,0182020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 37/80
Henderson
38,881
6,322
2,782
2,968
32,559
7.2%
7.6%
83.7%
4,355 $42,854,711
6,296 $20,491,878
157
$50,032,518
Total Population Under 65
Uninsured
Insured
Number Percent
16.3%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
10,651 $63,346,588Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
572 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Henderson County there are currently
6322 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20142782 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2968
will become eligible for Medicaid.
$659,418
$670,4962008
2007
$764,085
$728,1352010
2009
$738,1072011$3,560,242Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Henderson County
Medicaid already plays a vital role in providing healthcareto Henderson County residents. The table below shows
the number of adults and children who received Medicaid
in 2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Henderson County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Henderson County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Henderson County jail. Your local
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Henderson County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Henderson County
received the following DSH amounts in recent years.
DSH Payments: Henderson County
$1,309,012
$1,232,9122011
2010
$656,554
$592,5312013 (Estimate)
2012
$3,791,009Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Henderson County should be preparing to absorb.
DSH Reductions: Henderson County
$40,107
$120,3212017
2016
$374,333
$334,226
2019
2018
$1,209,897Total
YEAR DSH Payment
$33,4232014
$40,1072015
$267,3812020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 38/80
Hopkins
38,791
7,129
3,097
3,447
31,662
8.0%
8.9%
81.6%
4,943 $47,153,639
6,290 $13,015,592
350
$66,457,206
Total Population Under 65
Uninsured
Insured
Number Percent
18.4%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
11,233 $60,169,231Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
585 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Hopkins County there are currently 7129
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20143097 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 3447
will become eligible for Medicaid.
$588,862
$528,3222008
2007
$540,995
$541,8892010
2009
$515,1102011$2,715,178Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Hopkins County
Medicaid already plays a vital role in providing healthcareto Hopkins County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Hopkins County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Hopkins County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Hopkins County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Hopkins County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Hopkins County
received the following DSH amounts in recent years.
DSH Payments: Hopkins County
$652,179
$828,2302011
2010
$977,784
$649,7372013 (Estimate)
2012
$3,107,930Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Hopkins County should be preparing to absorb.
DSH Reductions: Hopkins County
$30,824
$92,4732017
2016
$287,694
$256,870
2019
2018
$929,868Total
YEAR DSH Payment
$25,6872014
$30,8242015
$205,4962020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 39/80
Jefferson
630,816
101,366
44,294
47,451
529,450
7.0%
7.5%
83.9%
55,979 $702,470,272
88,711 $333,411,099
4,207
$1,250,587,348
Total Population Under 65
Uninsured
Insured
Number Percent
16.1%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
144,690 $1,035,881,371Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
9,621 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Jefferson County there are currently
101366 uninsured residents. When the Affordable Care
Act is implemented and Medicaid is expanded in January
201444294 of those people will have access to subsidized
insurance through the Health Benefits Exchange and
47451 will become eligible for Medicaid.
$5,401,800
$6,719,3002008
2007
$7,011,100
$7,804,9002010
2009
$6,735,4002011$33,672,500Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Jefferson County
Medicaid already plays a vital role in providing healthcareto Jefferson County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Jefferson County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Jefferson County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Jefferson County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Jefferson County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Jefferson County
received the following DSH amounts in recent years.
DSH Payments: Jefferson County
$60,072,199
$57,405,6382011
2010
$59,381,114
$57,743,8002013 (Estimate)
2012
$234,602,750Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Jefferson County should be preparing to absorb.
DSH Reductions: Jefferson County
$2,217,711
$6,653,1332017
2016
$20,698,635
$18,480,924
2019
2018
$66,900,945Total
YEAR DSH Payment
$1,848,0922014
$2,217,7112015
$14,784,7392020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 40/80
Johnson
19,689
3,493
1,494
1,698
16,196
7.6%
8.6%
82.3%
4,442 $38,927,872
4,394 $11,266,542
90
$33,861,043
Total Population Under 65
Uninsured
Insured
Number Percent
17.7%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
8,836 $50,194,414Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
301 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Johnson County there are currently 3493
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141494 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1698
will become eligible for Medicaid.
$43,956
$35,6452008
2007
$16,314
$15,0822010
2009
$59,1152011$170,113Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Johnson County
Medicaid already plays a vital role in providing healthcareto Johnson County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Johnson County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Johnson County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Johnson County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Johnson County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Johnson County
received the following DSH amounts in recent years.
DSH Payments: Johnson County
$1,221,486
$1,206,2162011
2010
$1,390,116
$1,704,0672013 (Estimate)
2012
$5,521,885Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Johnson County should be preparing to absorb.
DSH Reductions: Johnson County
$47,873
$143,6202017
2016
$446,817
$398,944
2019
2018
$1,444,177Total
YEAR DSH Payment
$39,8942014
$47,8732015
$319,1552020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 41/80
Kenton
139,479
21,314
10,071
8,734
118,165
7.2%
6.3%
84.7%
10,463 $93,776,279
17,788 $54,826,026
703
$130,181,975
Total Population Under 65
Uninsured
Insured
Number Percent
15.3%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
28,251 $148,602,305Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
2,509 1.8%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Kenton County there are currently
21314 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
201410071 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 8734
will become eligible for Medicaid.
$122,469
$129,6762008
2007
$913,092
$941,4052010
2009
$1,011,1282011$3,117,770Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Kenton County
Medicaid already plays a vital role in providing healthcareto Kenton County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Kenton County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Kenton County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Kenton County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Kenton County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Kenton County
received the following DSH amounts in recent years.
DSH Payments: Kenton County
$6,785,466
$6,638,0862011
2010
$8,324,129
$6,120,8392013 (Estimate)
2012
$27,868,520Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Kenton County should be preparing to absorb.
DSH Reductions: Kenton County
$272,704
$818,1112017
2016
$2,545,233
$2,272,530
2019
2018
$8,226,558Total
YEAR DSH Payment
$227,2532014
$272,7042015
$1,818,0242020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 42/80
Knox
26,820
5,125
1,846
2,999
21,695
6.9%
11.2%
80.9%
7,096 $52,450,696
7,359 $15,285,920
126
$34,523,482
Total Population Under 65
Uninsured
Insured
Number Percent
19.1%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
14,455 $67,736,616Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
280 1.0%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Knox County there are currently 5125
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141846 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2999
will become eligible for Medicaid.
$89,123
$37,9762008
2007
$79,333
$67,4112010
2009
$180,0812011$453,924Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Knox County
Medicaid already plays a vital role in providing healthcareto Knox County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Knox County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Knox County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Knox County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Knox County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Knox County received
the following DSH amounts in recent years.
DSH Payments: Knox County
$569,984
$668,5372011
2010
$565,661
$470,8832013 (Estimate)
2012
$2,275,065Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Knox County should be preparing to absorb.
DSH Reductions: Knox County
$22,623
$67,8702017
2016
$211,152
$188,528
2019
2018
$682,473Total
YEAR DSH Payment
$18,8532014
$22,6232015
$150,8232020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 43/80
Laurel
50,816
10,132
4,274
5,120
40,684
8.4%
10.1%
80.1%
8,246 $77,327,990
10,160 $21,462,231
263
$80,671,984
Total Population Under 65
Uninsured
Insured
Number Percent
19.9%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
18,406 $98,790,222Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
738 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Laurel County there are currently 10132
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20144274 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 5120
will become eligible for Medicaid.
$262,851
$500,5712008
2007
$575,296
$412,6782010
2009
$537,0472011$2,288,442Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Laurel County
Medicaid already plays a vital role in providing healthcareto Laurel County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Laurel County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Laurel County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Laurel County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Laurel County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Laurel County received
the following DSH amounts in recent years.
DSH Payments: Laurel County
$2,093,314
$2,158,4452011
2010
$2,366,186
$2,813,1402013 (Estimate)
2012
$9,431,085Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Laurel County should be preparing to absorb.
DSH Reductions: Laurel County
$82,985
$248,9562017
2016
$774,529
$691,544
2019
2018
$2,503,389Total
YEAR DSH Payment
$69,1542014
$82,9852015
$553,2352020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 44/80
Lawrence
13,586
2,489
1,080
1,243
11,097
7.9%
9.1%
81.7%
2,976 $21,915,281
2,806 $7,245,682
68
$21,469,346
Total Population Under 65
Uninsured
Insured
Number Percent
18.3%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
5,782 $29,160,962Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
166 1.2%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Lawrence County there are currently
2489 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20141080 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1243
will become eligible for Medicaid.
$50,322
$38,5762008
2007
$52,963
$44,5152010
2009
$56,4212011$242,798Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Lawrence County
Medicaid already plays a vital role in providing healthcareto Lawrence County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Lawrence County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Lawrence County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Lawrence County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Lawrence County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Lawrence County
received the following DSH amounts in recent years.
DSH Payments: Lawrence County
$1,084,101
$725,4032011
2010
$414,656
$390,2802013 (Estimate)
2012
$2,614,440Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Lawrence County should be preparing to absorb.
DSH Reductions: Lawrence County
$27,890
$83,6692017
2016
$260,304
$232,414
2019
2018
$841,339Total
YEAR DSH Payment
$23,2412014
$27,8902015
$185,9312020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 45/80
Leslie
9,541
1,745
764
849
7,796
8.0%
8.9%
81.7%
2,467 $21,056,256
2,262 $4,520,853
47
$13,453,937
Total Population Under 65
Uninsured
Insured
Number Percent
18.3%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
4,729 $25,577,109Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
132 1.4%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Leslie County there are currently 1745
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
2014764 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 849
will become eligible for Medicaid.
$12,742
$7,5552008
2007
$2,264
$54,8372010
2009
$162,3242011$239,722Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Leslie County
Medicaid already plays a vital role in providing healthcareto Leslie County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Leslie County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Leslie County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Leslie County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Leslie County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Leslie County received
the following DSH amounts in recent years.
DSH Payments: Leslie County
$827,370
$586,6492011
2010
$446,861
$575,9882013 (Estimate)
2012
$2,436,868Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Leslie County should be preparing to absorb.
DSH Reductions: Leslie County
$23,334
$70,0032017
2016
$217,788
$194,453
2019
2018
$703,920Total
YEAR DSH Payment
$19,4452014
$23,3342015
$155,5632020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 46/80
Letcher
20,933
3,772
1,477
2,006
17,161
7.1%
9.6%
82.0%
4,337 $38,725,236
4,173 $8,639,939
122
$31,345,799
Total Population Under 65
Uninsured
Insured
Number Percent
18.0%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
8,510 $47,365,175Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
289 1.4%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Letcher County there are currently 3772
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141477 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2006
will become eligible for Medicaid.
$16,924
$34,3882008
2007
$19,615
$35,9782010
2009
$37,1752011$144,080Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Letcher County
Medicaid already plays a vital role in providing healthcareto Letcher County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Letcher County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Letcher County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Letcher County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Letcher County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Letcher County
received the following DSH amounts in recent years.
DSH Payments: Letcher County
$477,732
$491,8382011
2010
$463,181
$500,2422013 (Estimate)
2012
$1,932,993Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Letcher County should be preparing to absorb.
DSH Reductions: Letcher County
$17,966
$53,8982017
2016
$167,682
$149,716
2019
2018
$541,971Total
YEAR DSH Payment
$14,9722014
$17,9662015
$119,7732020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 47/80
Lincoln
20,885
4,168
1,851
2,026
16,717
8.9%
9.7%
80.0%
3,619 $26,269,687
4,323 $10,301,359
59
$18,663,074
Total Population Under 65
Uninsured
Insured
Number Percent
20.0%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
7,942 $36,571,046Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
291 1.4%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Lincoln County there are currently 4168
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141851 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2026
will become eligible for Medicaid.
$108,803
$80,9632008
2007
$135,478
$135,4142010
2009
$199,3862011$660,043Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Lincoln County
Medicaid already plays a vital role in providing healthcareto Lincoln County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Lincoln County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Lincoln County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Lincoln County jail. Your local
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Lincoln County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Lincoln County
received the following DSH amounts in recent years.
DSH Payments: Lincoln County
$470,864
$595,5722011
2010
$426,519
$497,8672013 (Estimate)
2012
$1,990,822Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Lincoln County should be preparing to absorb.
DSH Reductions: Lincoln County
$18,721
$56,1622017
2016
$174,728
$156,007
2019
2018
$564,744Total
YEAR DSH Payment
$15,6012014
$18,7212015
$124,8052020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 48/80
Livingston
7,742
1,503
680
698
6,239
8.8%
9.0%
80.6%
921 $9,386,923
1,223 $2,235,751
34
$7,575,762
Total Population Under 65
Uninsured
Insured
Number Percent
19.4%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
2,144 $11,622,674Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
125 1.6%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Livingston County there are currently
1503 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
2014680 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 698
will become eligible for Medicaid.
$74,645
$02008
2007
$1,376
$1,8172010
2009
$11,2262011$89,063Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Livingston County
Medicaid already plays a vital role in providing healthcareto Livingston County residents. The table below shows
the number of adults and children who received Medicaid
in 2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Livingston County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Livingston County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Livingston County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Livingston County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Livingston County
received the following DSH amounts in recent years.
DSH Payments: Livingston County
$402,799
$209,8092011
2010
$209,130
$233,2972013 (Estimate)
2012
$1,055,035Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Livingston County should be preparing to absorb.
DSH Reductions: Livingston County
$10,304
$30,9122017
2016
$96,172
$85,868
2019
2018
$310,841Total
YEAR DSH Payment
$8,5872014
$10,3042015
$68,6942020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 49/80
Logan
22,384
5,025
2,266
2,408
17,359
10.1%
10.8%
77.6%
2,494 $21,562,639
3,478 $6,702,660
64
$14,565,180
Total Population Under 65
Uninsured
Insured
Number Percent
22.4%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
5,972 $28,265,298Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
351 1.6%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Logan County there are currently 5025
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20142266 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2408
will become eligible for Medicaid.
$200,208
$197,5472008
2007
$208,400
$207,3442010
2009
$273,4782011$1,086,976Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Logan County
Medicaid already plays a vital role in providing healthcareto Logan County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Logan County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Logan County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Logan County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Logan County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Logan County received
the following DSH amounts in recent years.
DSH Payments: Logan County
$268,749
$233,8812011
2010
$219,989
$322,9652013 (Estimate)
2012
$1,045,584Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Logan County should be preparing to absorb.
DSH Reductions: Logan County
$9,061
$27,1842017
2016
$84,572
$75,510
2019
2018
$273,347Total
YEAR DSH Payment
$7,5512014
$9,0612015
$60,4082020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 50/80
Madison
68,140
12,898
5,281
6,474
55,242
7.8%
9.5%
81.1%
7,330 $69,655,447
9,587 $24,568,583
278
$74,423,623
Total Population Under 65
Uninsured
Insured
Number Percent
18.9%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
16,917 $94,224,029Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
1,143 1.7%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Madison County there are currently
12898 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20145281 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 6474
will become eligible for Medicaid.
$47,614
$58,7492008
2007
$46,995
$48,3132010
2009
$30,9882011$232,659Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Madison County
Medicaid already plays a vital role in providing healthcareto Madison County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Madison County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Madison County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Madison County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Madison County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Madison County
received the following DSH amounts in recent years.
DSH Payments: Madison County
$2,418,784
$2,245,2562011
2010
$1,880,631
$2,011,3432013 (Estimate)
2012
$8,556,014Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Madison County should be preparing to absorb.
DSH Reductions: Madison County
$82,066
$246,1992017
2016
$765,954
$683,887
2019
2018
$2,475,672Total
YEAR DSH Payment
$68,3892014
$82,0662015
$547,1102020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 51/80
Marion
16,086
3,076
1,347
1,516
13,010
8.4%
9.4%
80.9%
2,226 $22,334,214
2,709 $8,793,546
73
$24,582,198
Total Population Under 65
Uninsured
Insured
Number Percent
19.1%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
4,935 $31,127,760Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
213 1.3%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Marion County there are currently 3076
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141347 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1516
will become eligible for Medicaid.
$197,931
$157,1382008
2007
$243,659
$300,2602010
2009
$312,3132011$1,211,301Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Marion County
Medicaid already plays a vital role in providing healthcareto Marion County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Marion County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Marion County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Marion County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Marion County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Marion County
received the following DSH amounts in recent years.
DSH Payments: Marion County
$339,569
$293,0512011
2010
$320,117
$294,9712013 (Estimate)
2012
$1,247,708Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Marion County should be preparing to absorb.
DSH Reductions: Marion County
$11,947
$35,8402017
2016
$111,503
$99,557
2019
2018
$360,395Total
YEAR DSH Payment
$9,9562014
$11,9472015
$79,6452020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 52/80
Marshall
24,978
4,178
1,931
1,867
20,800
7.7%
7.5%
83.3%
2,724 $26,287,272
3,546 $6,864,432
79
$24,916,237
Total Population Under 65
Uninsured
Insured
Number Percent
16.7%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
6,270 $33,151,704Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
380 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Marshall County there are currently
4178 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20141931 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1867
will become eligible for Medicaid.
$45,465
$46,3722008
2007
$43,228
$46,2202010
2009
$50,1682011$231,454Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Marshall County
Medicaid already plays a vital role in providing healthcareto Marshall County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Marshall County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Marshall County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Marshall County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Marshall County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Marshall County
received the following DSH amounts in recent years.
DSH Payments: Marshall County
$236,914
$278,5662011
2010
$164,213
$201,2202013 (Estimate)
2012
$880,913Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Marshall County should be preparing to absorb.
DSH Reductions: Marshall County
$8,523
$25,5692017
2016
$79,548
$71,025
2019
2018
$257,109Total
YEAR DSH Payment
$7,1022014
$8,5232015
$56,8202020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 53/80
Mason
14,572
2,701
1,119
1,371
11,871
7.7%
9.4%
81.5%
2,160 $17,712,812
2,719 $5,861,928
113
$26,187,356
Total Population Under 65
Uninsured
Insured
Number Percent
18.5%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
4,879 $23,574,740Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
211 1.4%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Mason County there are currently 2701
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141119 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1371
will become eligible for Medicaid.
$103,660
$124,6012008
2007
$132,085
$135,5072010
2009
$253,9362011$749,789Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Mason County
Medicaid already plays a vital role in providing healthcareto Mason County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Mason County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Mason County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Mason County jail. Your local
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Mason County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Mason County received
the following DSH amounts in recent years.
DSH Payments: Mason County
$309,502
$380,9602011
2010
$413,490
$271,0542013 (Estimate)
2012
$1,375,006Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Mason County should be preparing to absorb.
DSH Reductions: Mason County
$13,843
$41,5292017
2016
$129,201
$115,358
2019
2018
$417,595Total
YEAR DSH Payment
$11,5362014
$13,8432015
$92,2862020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 54/80
McCracken
53,572
8,686
3,762
4,083
44,886
7.0%
7.6%
83.8%
5,924 $58,300,304
7,691 $16,984,291
529
$92,721,748
Total Population Under 65
Uninsured
Insured
Number Percent
16.2%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
13,615 $75,284,595Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
841 1.6%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In McCracken County there are currently
8686 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20143762 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 4083
will become eligible for Medicaid.
$796,835
$983,8542008
2007
$950,735
$1,016,1592010
2009
$801,7092011$4,549,292Total
YEAR
Medical and Dental
Spending
Insurance Coverage in McCracken County
Medicaid already plays a vital role in providing healthcareto McCracken County residents. The table below shows
the number of adults and children who received Medicaid
in 2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: McCracken County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: McCracken County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the McCracken County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
McCracken County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in McCracken County
received the following DSH amounts in recent years.
DSH Payments: McCracken County
$2,942,592
$1,964,4262011
2010
$1,738,686
$2,037,0462013 (Estimate)
2012
$8,682,750Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
McCracken County should be preparing to absorb.
DSH Reductions: McCracken County
$83,333
$250,0002017
2016
$777,778
$694,445
2019
2018
$2,513,890Total
YEAR DSH Payment
$69,4442014
$83,3332015
$555,5562020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 55/80
Mercer
17,773
3,061
1,416
1,378
14,712
8.0%
7.8%
82.8%
1,907 $15,674,498
2,660 $6,739,838
44
$11,190,809
Total Population Under 65
Uninsured
Insured
Number Percent
17.2%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
4,567 $22,414,336Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
267 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Mercer County there are currently 3061
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141416 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1378
will become eligible for Medicaid.
$113,082
$107,9522008
2007
$95,204
$146,0832010
2009
$99,3762011$561,697Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Mercer County
Medicaid already plays a vital role in providing healthcareto Mercer County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Mercer County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Mercer County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Mercer County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Mercer County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Mercer County
received the following DSH amounts in recent years.
DSH Payments: Mercer County
$280,294
$226,8322011
2010
$232,711
$232,9612013 (Estimate)
2012
$972,798Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Mercer County should be preparing to absorb.
DSH Reductions: Mercer County
$9,277
$27,8312017
2016
$86,587
$77,309
2019
2018
$279,860Total
YEAR DSH Payment
$7,7312014
$9,2772015
$61,8482020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 56/80
Monroe
9,044
2,156
885
1,154
6,888
9.8%
12.8%
76.2%
1,711 $16,073,419
1,855 $4,021,138
45
$12,997,701
Total Population Under 65
Uninsured
Insured
Number Percent
23.8%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
3,566 $20,094,557Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
117 1.3%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Monroe County there are currently 2156
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
2014885 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1154
will become eligible for Medicaid.
$6,183
$5,2402008
2007
$34,468
$4,4132010
2009
$3,1472011$53,450Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Monroe County
Medicaid already plays a vital role in providing healthcareto Monroe County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Monroe County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Monroe County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Monroe County jail. Your local
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Monroe County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Monroe County
received the following DSH amounts in recent years.
DSH Payments: Monroe County
$362,887
$325,5402011
2010
$264,313
$292,1052013 (Estimate)
2012
$1,244,845Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Monroe County should be preparing to absorb.
DSH Reductions: Monroe County
$11,947
$35,8402017
2016
$111,504
$99,557
2019
2018
$360,396Total
YEAR DSH Payment
$9,9562014
$11,9472015
$79,6452020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 57/80
Montgomery
22,791
4,128
1,751
2,042
18,663
7.7%
9.0%
81.9%
3,207 $24,257,083
4,261 $9,138,680
119
$25,311,588
Total Population Under 65
Uninsured
Insured
Number Percent
18.1%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
7,468 $33,395,764Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
335 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Montgomery County there are currently
4128 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20141751 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2042
will become eligible for Medicaid.
$121,491
$130,9462008
2007
$157,178
$188,9862010
2009
$180,2502011$778,850Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Montgomery County
Medicaid already plays a vital role in providing healthcareto Montgomery County residents. The table below shows
the number of adults and children who received Medicaid
in 2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Montgomery County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Montgomery County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Montgomery County jail. Your
local jailer should have specific information regardinghow much of this was for inpatient hospitalizations.
Montgomery County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Montgomery County
received the following DSH amounts in recent years.
DSH Payments: Montgomery County
$565,324
$701,4512011
2010
$1,003,238
$1,227,3812013 (Estimate)
2012
$3,497,394Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Montgomery County should be preparing to absorb.
DSH Reductions: Montgomery County
$28,465
$85,3942017
2016
$265,670
$237,206
2019
2018
$858,684Total
YEAR DSH Payment
$23,7212014
$28,4652015
$189,7642020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 58/80
Morgan
10,185
1,962
784
1,040
8,223
7.7%
10.2%
80.7%
2,164 $15,172,570
2,215 $4,888,652
38
$11,221,331
Total Population Under 65
Uninsured
Insured
Number Percent
19.3%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
4,379 $20,061,222Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
138 1.4%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Morgan County there are currently 1962
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
2014784 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1040
will become eligible for Medicaid.
$34,627
$42,2992008
2007
$7,371
$14,0732010
2009
$46,3852011$144,756Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Morgan County
Medicaid already plays a vital role in providing healthcareto Morgan County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Morgan County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Morgan County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Morgan County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Morgan County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Morgan County
received the following DSH amounts in recent years.
DSH Payments: Morgan County
$359,104
$425,7942011
2010
$368,676
$423,2062013 (Estimate)
2012
$1,576,780Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Morgan County should be preparing to absorb.
DSH Reductions: Morgan County
$14,465
$43,3952017
2016
$135,008
$120,543
2019
2018
$436,366Total
YEAR DSH Payment
$12,0542014
$14,4652015
$96,4342020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 59/80
Muhlenberg
24,996
4,860
2,108
2,372
20,136
8.4%
9.5%
80.6%
3,364 $23,700,016
4,284 $9,783,657
101
$20,159,126
Total Population Under 65
Uninsured
Insured
Number Percent
19.4%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
7,648 $33,483,673Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
380 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Muhlenberg County there are currently
4860 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20142108 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2372
will become eligible for Medicaid.
$96,591
$92,3612008
2007
$91,264
$81,6352010
2009
$122,0022011$483,853Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Muhlenberg County
Medicaid already plays a vital role in providing healthcareto Muhlenberg County residents. The table below shows
the number of adults and children who received Medicaid
in 2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Muhlenberg County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Muhlenberg County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Muhlenberg County jail. Your
local jailer should have specific information regardinghow much of this was for inpatient hospitalizations.
Muhlenberg County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Muhlenberg County
received the following DSH amounts in recent years.
DSH Payments: Muhlenberg County
$147,502
$275,8272011
2010
$167,050
$554,3392013 (Estimate)
2012
$1,144,718Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Muhlenberg County should be preparing to absorb.
DSH Reductions: Muhlenberg County
$7,403
$22,2092017
2016
$69,095
$61,692
2019
2018
$223,324Total
YEAR DSH Payment
$6,1692014
$7,4032015
$49,3532020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 60/80
Nelson
38,062
6,316
2,927
2,821
31,746
7.7%
7.4%
83.4%
3,724 $36,332,550
5,560 $17,857,309
142
$30,311,389
Total Population Under 65
Uninsured
Insured
Number Percent
16.6%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
9,284 $54,189,859Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
568 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Nelson County there are currently 6316
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20142927 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2821
will become eligible for Medicaid.
$122,023
$92,1302008
2007
$112,011
$69,7522010
2009
$62,1792011$458,096Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Nelson County
Medicaid already plays a vital role in providing healthcareto Nelson County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Nelson County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Nelson County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Nelson County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Nelson County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Nelson County
received the following DSH amounts in recent years.
DSH Payments: Nelson County
$1,361,958
$1,170,3212011
2010
$1,354,967
$1,572,9392013 (Estimate)
2012
$5,460,185Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Nelson County should be preparing to absorb.
DSH Reductions: Nelson County
$48,744
$146,2322017
2016
$454,943
$406,199
2019
2018
$1,470,440Total
YEAR DSH Payment
$40,6202014
$48,7442015
$324,9592020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 61/80
Nicholas
5,982
1,248
515
650
4,734
8.6%
10.9%
79.1%
961 $8,926,434
1,251 $3,803,638
20
$6,411,757
Total Population Under 65
Uninsured
Insured
Number Percent
20.9%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
2,212 $12,730,071Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
83 1.4%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Nicholas County there are currently
1248 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
2014515 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 650
will become eligible for Medicaid.
$4,798
$6,6362008
2007
$2,620
$7,8382010
2009
$4,1602011$26,052Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Nicholas County
Medicaid already plays a vital role in providing healthcareto Nicholas County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Nicholas County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Nicholas County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Nicholas County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Nicholas County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Nicholas County
received the following DSH amounts in recent years.
DSH Payments: Nicholas County
$110,578
$107,1162011
2010
$117,515
$258,6202013 (Estimate)
2012
$593,829Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Nicholas County should be preparing to absorb.
DSH Reductions: Nicholas County
$4,203
$12,6102017
2016
$39,231
$35,028
2019
2018
$126,800Total
YEAR DSH Payment
$3,5032014
$4,2032015
$28,0222020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 62/80
Ohio
19,930
3,532
1,558
1,730
16,398
7.8%
8.7%
82.3%
2,901 $23,749,582
3,861 $9,925,010
134
$22,831,634
Total Population Under 65
Uninsured
Insured
Number Percent
17.7%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
6,762 $33,674,592Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
244 1.2%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Ohio County there are currently 3532
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141558 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1730
will become eligible for Medicaid.
$12,819
$8,0982008
2007
$20,843
$25,8852010
2009
$20,7672011$88,411Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Ohio County
Medicaid already plays a vital role in providing healthcareto Ohio County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Ohio County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Ohio County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Ohio County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Ohio County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Ohio County received
the following DSH amounts in recent years.
DSH Payments: Ohio County
$457,412
$375,6972011
2010
$374,360
$470,5402013 (Estimate)
2012
$1,678,009Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Ohio County should be preparing to absorb.
DSH Reductions: Ohio County
$15,141
$45,4232017
2016
$141,316
$126,175
2019
2018
$456,753Total
YEAR DSH Payment
$12,6172014
$15,1412015
$100,9402020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 63/80
Oldham
49,882
5,092
2,477
1,730
44,790
5.0%
3.5%
89.8%
1,698 $33,256,655
3,301 $11,151,631
107
$36,864,347
Total Population Under 65
Uninsured
Insured
Number Percent
10.2%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
4,999 $44,408,286Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
885 1.8%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Oldham County there are currently 5092
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20142477 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1730
will become eligible for Medicaid.
$556,315
$166,5752008
2007
$0
$02010
2009
$02011$722,890Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Oldham County
Medicaid already plays a vital role in providing healthcareto Oldham County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Oldham County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Oldham County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Oldham County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Oldham County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Oldham County
received the following DSH amounts in recent years.
DSH Payments: Oldham County
$168,096
$120,3732011
2010
$276,805
$364,6192013 (Estimate)
2012
$929,893Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Oldham County should be preparing to absorb.
DSH Reductions: Oldham County
$7,088
$21,2652017
2016
$66,157
$59,068
2019
2018
$213,828Total
YEAR DSH Payment
$5,9072014
$7,0882015
$47,2552020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 64/80
Owen
9,195
1,720
798
779
7,475
8.7%
8.5%
81.3%
1,180 $12,382,713
1,575 $2,631,180
35
$10,109,343
Total Population Under 65
Uninsured
Insured
Number Percent
18.7%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
2,755 $15,013,893Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
143 1.6%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Owen County there are currently 1720
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
2014798 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 779
will become eligible for Medicaid.
$2,983
$5,0782008
2007
$11,203
$2,9582010
2009
$6,1272011$28,348Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Owen County
Medicaid already plays a vital role in providing healthcareto Owen County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Owen County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Owen County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Owen County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Owen County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Owen County received
the following DSH amounts in recent years.
DSH Payments: Owen County
$106,520
$91,5222011
2010
$98,917
$35,5692013 (Estimate)
2012
$332,528Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Owen County should be preparing to absorb.
DSH Reductions: Owen County
$3,724
$11,1712017
2016
$34,755
$31,031
2019
2018
$112,332Total
YEAR DSH Payment
$3,1032014
$3,7242015
$24,8252020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 65/80
Perry
24,570
4,386
1,729
2,330
20,184
7.0%
9.5%
82.1%
6,167 $65,822,422
6,254 $18,112,571
277
$118,523,008
Total Population Under 65
Uninsured
Insured
Number Percent
17.9%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
12,421 $83,934,993Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
327 1.3%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Perry County there are currently 4386
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141729 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2330
will become eligible for Medicaid.
$348,061
$316,6222008
2007
$254,168
$252,9132010
2009
$262,1112011$1,433,875Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Perry County
Medicaid already plays a vital role in providing healthcareto Perry County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Perry County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Perry County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Perry County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Perry County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Perry County received
the following DSH amounts in recent years.
DSH Payments: Perry County
$6,189,183
$4,745,8072011
2010
$4,646,453
$4,726,9132013 (Estimate)
2012
$20,308,356Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Perry County should be preparing to absorb.
DSH Reductions: Perry County
$195,382
$586,1472017
2016
$1,823,570
$1,628,187
2019
2018
$5,894,037Total
YEAR DSH Payment
$162,8192014
$195,3822015
$1,302,5502020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 66/80
Pike
55,213
9,915
3,984
5,127
45,298
7.2%
9.3%
82.0%
9,912 $84,558,387
9,636 $21,856,088
482
$105,263,200
Total Population Under 65
Uninsured
Insured
Number Percent
18.0%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
19,548 $106,414,474Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
804 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Pike County there are currently 9915
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20143984 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 5127
will become eligible for Medicaid.
$188,254
$209,3442008
2007
$201,553
$299,3872010
2009
$404,6002011$1,303,138Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Pike County
Medicaid already plays a vital role in providing healthcareto Pike County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Pike County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Pike County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Pike County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Pike County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Pike County received
the following DSH amounts in recent years.
DSH Payments: Pike County
$4,058,652
$3,099,5392011
2010
$2,785,562
$2,801,4832013 (Estimate)
2012
$12,745,236Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Pike County should be preparing to absorb.
DSH Reductions: Pike County
$124,689
$374,0672017
2016
$1,163,764
$1,039,075
2019
2018
$3,761,452Total
YEAR DSH Payment
$103,9082014
$124,6892015
$831,2602020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 67/80
Pulaski
52,345
10,284
4,318
5,209
42,061
8.2%
10.0%
80.4%
8,860 $152,585,679
9,939 $21,825,578
341
$192,600,262
Total Population Under 65
Uninsured
Insured
Number Percent
19.6%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
18,799 $174,411,257Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
757 1.4%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Pulaski County there are currently 10284
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20144318 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 5209
will become eligible for Medicaid.
$292,855
$355,9552008
2007
$335,213
$326,9102010
2009
$333,4402011$1,644,373Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Pulaski County
Medicaid already plays a vital role in providing healthcareto Pulaski County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Pulaski County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Pulaski County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Pulaski County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Pulaski County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Pulaski County
received the following DSH amounts in recent years.
DSH Payments: Pulaski County
$2,346,792
$2,197,9102011
2010
$2,517,627
$2,759,5962013 (Estimate)
2012
$9,821,925Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Pulaski County should be preparing to absorb.
DSH Reductions: Pulaski County
$88,558
$265,6732017
2016
$826,538
$737,980
2019
2018
$2,671,488Total
YEAR DSH Payment
$73,7982014
$88,5582015
$590,3842020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 68/80
Rockcastle
14,350
3,010
1,189
1,644
11,340
8.3%
11.5%
79.0%
2,803 $36,245,444
2,879 $7,013,561
51
$38,871,909
Total Population Under 65
Uninsured
Insured
Number Percent
21.0%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
5,682 $43,259,005Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
177 1.2%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Rockcastle County there are currently
3010 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20141189 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1644
will become eligible for Medicaid.
$62,082
$58,2642008
2007
$95,960
$146,4332010
2009
$137,4292011$500,168Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Rockcastle County
Medicaid already plays a vital role in providing healthcareto Rockcastle County residents. The table below shows
the number of adults and children who received Medicaid
in 2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Rockcastle County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Rockcastle County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Rockcastle County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Rockcastle County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Rockcastle County
received the following DSH amounts in recent years.
DSH Payments: Rockcastle County
$342,579
$437,6482011
2010
$407,094
$430,8272013 (Estimate)
2012
$1,618,148Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Rockcastle County should be preparing to absorb.
DSH Reductions: Rockcastle County
$14,888
$44,6652017
2016
$138,958
$124,069
2019
2018
$449,131Total
YEAR DSH Payment
$12,4072014
$14,8882015
$99,2562020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 69/80
Rowan
18,067
3,694
1,391
2,081
14,373
7.7%
11.5%
79.6%
2,777 $23,963,433
3,266 $8,723,767
204
$42,150,427
Total Population Under 65
Uninsured
Insured
Number Percent
20.4%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
6,043 $32,687,201Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
222 1.2%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Rowan County there are currently 3694
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141391 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2081
will become eligible for Medicaid.
$92,362
$78,7952008
2007
$126,403
$119,8162010
2009
$129,6262011$547,002Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Rowan County
Medicaid already plays a vital role in providing healthcareto Rowan County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Rowan County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Rowan County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Rowan County jail. Your local
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Rowan County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Rowan County received
the following DSH amounts in recent years.
DSH Payments: Rowan County
$983,230
$1,233,8442011
2010
$1,789,840
$2,233,1752013 (Estimate)
2012
$6,240,089Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Rowan County should be preparing to absorb.
DSH Reductions: Rowan County
$50,244
$150,7332017
2016
$468,948
$418,704
2019
2018
$1,515,707Total
YEAR DSH Payment
$41,8702014
$50,2442015
$334,9632020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 70/80
Russell
14,423
3,090
1,277
1,622
11,333
8.9%
11.2%
78.6%
2,972 $25,367,734
3,288 $7,346,668
69
$27,709,810
Total Population Under 65
Uninsured
Insured
Number Percent
21.4%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
6,260 $32,714,402Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
191 1.3%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Russell County there are currently 3090
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141277 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1622
will become eligible for Medicaid.
$39,000
$40,2012008
2007
$29,238
$49,0022010
2009
$82,9202011$240,361Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Russell County
Medicaid already plays a vital role in providing healthcareto Russell County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Russell County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Russell County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Russell County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Russell County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Russell County received
the following DSH amounts in recent years.
DSH Payments: Russell County
$449,149
$469,4732011
2010
$502,744
$515,4902013 (Estimate)
2012
$1,936,856Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Russell County should be preparing to absorb.
DSH Reductions: Russell County
$17,823
$53,4692017
2016
$166,349
$148,526
2019
2018
$537,664Total
YEAR DSH Payment
$14,8532014
$17,8232015
$118,8212020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 71/80
Scott
41,434
5,467
2,469
2,350
35,967
6.0%
5.7%
86.8%
3,297 $26,789,895
5,716 $15,811,581
110
$24,349,729
Total Population Under 65
Uninsured
Insured
Number Percent
13.2%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
9,013 $42,601,477Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
648 1.6%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Scott County there are currently 5467
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20142469 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2350
will become eligible for Medicaid.
$118,444
$162,1172008
2007
$166,978
$131,2392010
2009
$170,6222011$749,400Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Scott County
Medicaid already plays a vital role in providing healthcareto Scott County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Scott County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Scott County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Scott County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Scott County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Scott County received
the following DSH amounts in recent years.
DSH Payments: Scott County
$558,137
$287,7392011
2010
$394,808
$476,8742013 (Estimate)
2012
$1,717,558Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Scott County should be preparing to absorb.
DSH Reductions: Scott County
$15,557
$46,6722017
2016
$145,203
$129,646
2019
2018
$469,317Total
YEAR DSH Payment
$12,9652014
$15,5572015
$103,7162020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 72/80
Shelby
35,676
6,738
3,128
2,875
28,938
8.8%
8.1%
81.1%
2,493 $23,513,817
4,835 $13,481,372
99
$19,732,787
Total Population Under 65
Uninsured
Insured
Number Percent
18.9%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
7,328 $36,995,189Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
735 2.1%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Shelby County there are currently 6738
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20143128 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2875
will become eligible for Medicaid.
$300,319
$85,1902008
2007
$46,209
$47,8162010
2009
$43,7952011$523,329Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Shelby County
Medicaid already plays a vital role in providing healthcareto Shelby County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Shelby County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Shelby County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Shelby County jail. Your local
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Shelby County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Shelby County received
the following DSH amounts in recent years.
DSH Payments: Shelby County
$504,001
$421,8672011
2010
$472,616
$425,1512013 (Estimate)
2012
$1,823,635Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Shelby County should be preparing to absorb.
DSH Reductions: Shelby County
$17,536
$52,6092017
2016
$163,671
$146,135
2019
2018
$529,009Total
YEAR DSH Payment
$14,6132014
$17,5362015
$116,9082020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 73/80
Simpson
14,576
2,631
1,182
1,264
11,945
8.1%
8.7%
81.9%
1,448 $14,159,136
2,526 $5,233,412
47
$11,260,470
Total Population Under 65
Uninsured
Insured
Number Percent
18.1%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
3,974 $19,392,548Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
185 1.3%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Simpson County there are currently
2631 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20141182 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1264
will become eligible for Medicaid.
$213,671
$216,3032008
2007
$226,357
$203,2762010
2009
$237,8042011$1,097,411Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Simpson County
Medicaid already plays a vital role in providing healthcareto Simpson County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Simpson County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Simpson County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Simpson County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Simpson County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Simpson County
received the following DSH amounts in recent years.
DSH Payments: Simpson County
$266,556
$421,0682011
2010
$292,600
$346,8022013 (Estimate)
2012
$1,327,026Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Simpson County should be preparing to absorb.
DSH Reductions: Simpson County
$12,291
$36,8742017
2016
$114,720
$102,429
2019
2018
$370,792Total
YEAR DSH Payment
$10,2432014
$12,2912015
$81,9432020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 74/80
Taylor
19,680
3,933
1,749
1,918
15,747
8.9%
9.7%
80.0%
3,159 $28,091,981
3,676 $7,647,765
131
$30,932,436
Total Population Under 65
Uninsured
Insured
Number Percent
20.0%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
6,835 $35,739,746Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
266 1.4%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Taylor County there are currently 3933
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141749 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1918
will become eligible for Medicaid.
$66,159
$64,9002008
2007
$148,809
$202,6282010
2009
$203,9622011$686,458Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Taylor County
Medicaid already plays a vital role in providing healthcareto Taylor County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Taylor County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Taylor County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Taylor County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Taylor County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Taylor County received
the following DSH amounts in recent years.
DSH Payments: Taylor County
$370,544
$377,6192011
2010
$361,570
$392,3352013 (Estimate)
2012
$1,502,068Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Taylor County should be preparing to absorb.
DSH Reductions: Taylor County
$13,915
$41,7462017
2016
$129,877
$115,962
2019
2018
$419,782Total
YEAR DSH Payment
$11,5962014
$13,9152015
$92,7692020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 75/80
Trigg
11,531
2,410
1,103
1,083
9,121
9.6%
9.4%
79.1%
1,074 $7,490,233
1,590 $2,785,476
25
$5,821,333
Total Population Under 65
Uninsured
Insured
Number Percent
20.9%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
2,664 $10,275,709Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
224 1.9%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Trigg County there are currently 2410
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141103 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1083
will become eligible for Medicaid.
$18,980
$28,3452008
2007
$51,276
$20,2382010
2009
$11,7542011$130,591Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Trigg County
Medicaid already plays a vital role in providing healthcareto Trigg County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Trigg County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Trigg County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Trigg County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Trigg County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Trigg County received
the following DSH amounts in recent years.
DSH Payments: Trigg County
$192,563
$249,7762011
2010
$154,980
$154,5462013 (Estimate)
2012
$751,865Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Trigg County should be preparing to absorb.
DSH Reductions: Trigg County
$7,490
$22,4702017
2016
$69,907
$62,417
2019
2018
$225,950Total
YEAR DSH Payment
$6,2422014
$7,4902015
$49,9342020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 76/80
Union
12,803
2,441
1,021
1,226
10,362
8.0%
9.6%
80.9%
1,357 $11,117,388
2,058 $6,506,455
40
$7,489,114
Total Population Under 65
Uninsured
Insured
Number Percent
19.1%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
3,415 $17,623,843Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
194 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Union County there are currently 2441
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141021 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1226
will become eligible for Medicaid.
$74,388
$18,5022008
2007
$57,386
$74,7382010
2009
$76,3832011$301,396Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Union County
Medicaid already plays a vital role in providing healthcareto Union County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Union County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Union County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Union County jail. Your local jailer
should have specific information regarding how much ofthis was for inpatient hospitalizations.
Union County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Union County received
the following DSH amounts in recent years.
DSH Payments: Union County
$203,360
$223,7642011
2010
$120,804
$59,1712013 (Estimate)
2012
$607,099Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Union County should be preparing to absorb.
DSH Reductions: Union County
$6,871
$20,6122017
2016
$64,127
$57,256
2019
2018
$207,266Total
YEAR DSH Payment
$5,7262014
$6,8712015
$45,8052020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 77/80
Warren
95,605
18,021
7,294
9,274
77,584
7.6%
9.7%
81.2%
9,531 $79,221,439
13,902 $33,121,637
567
$143,675,965
Total Population Under 65
Uninsured
Insured
Number Percent
18.8%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
23,433 $112,343,076Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
1,453 1.5%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Warren County there are currently
18021 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20147294 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 9274
will become eligible for Medicaid.
$743,751
$683,9562008
2007
$783,143
$825,3262010
2009
$747,2242011$3,783,400Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Warren County
Medicaid already plays a vital role in providing healthcareto Warren County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Warren County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Warren County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Warren County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Warren County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Warren County
received the following DSH amounts in recent years.
DSH Payments: Warren County
$4,007,260
$3,633,8472011
2010
$3,667,583
$3,659,8512013 (Estimate)
2012
$14,968,541Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Warren County should be preparing to absorb.
DSH Reductions: Warren County
$141,805
$425,4142017
2016
$1,323,509
$1,181,705
2019
2018
$4,277,771Total
YEAR DSH Payment
$118,1702014
$141,8052015
$945,3642020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 78/80
Wayne
17,241
3,826
1,484
2,144
13,415
8.6%
12.4%
77.8%
3,538 $23,850,989
3,723 $8,255,818
77
$17,129,986
Total Population Under 65
Uninsured
Insured
Number Percent
22.2%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
7,261 $32,106,807Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
198 1.1%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Wayne County there are currently 3826
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20141484 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2144
will become eligible for Medicaid.
$147,701
$144,6712008
2007
$136,434
$175,8452010
2009
$198,7382011$803,390Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Wayne County
Medicaid already plays a vital role in providing healthcareto Wayne County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Wayne County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Wayne County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Wayne County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Wayne County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Wayne County
received the following DSH amounts in recent years.
DSH Payments: Wayne County
$249,245
$292,6562011
2010
$322,877
$311,8162013 (Estimate)
2012
$1,176,594Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Wayne County should be preparing to absorb.
DSH Reductions: Wayne County
$10,844
$32,5312017
2016
$101,209
$90,365
2019
2018
$327,122Total
YEAR DSH Payment
$9,0372014
$10,8442015
$72,2922020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 79/80
Whitley
29,217
5,271
2,098
2,838
23,946
7.2%
9.7%
82.0%
8,148 $69,326,625
7,676 $18,807,762
255
$112,367,246
Total Population Under 65
Uninsured
Insured
Number Percent
18.0%
Reimbursements Paid to Providers
Providers Accepting Medicaid
Children
Adults
Enrollment Cost of their Care
15,824 $88,134,387Total
HBE without subsidies
HBE with subsidies
Medicaid expansion
335 1.1%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Whitley County there are currently 5271
uninsured residents. When the Affordable Care Act is
implemented and Medicaid is expanded in January
20142098 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 2838
will become eligible for Medicaid.
$267,959
$207,6152008
2007
$186,014
$174,7362010
2009
$205,3952011$1,041,720Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Whitley County
Medicaid already plays a vital role in providing healthcareto Whitley County residents. The table below shows the
number of adults and children who received Medicaid in
2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Whitley County
Medicaid is also a significant source of revenue for local
Medical providers as shown in the following table.
Medicaid Provider Facts: Whitley County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Whitley County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Whitley County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Whitley County
received the following DSH amounts in recent years.
DSH Payments: Whitley County
$4,061,410
$3,904,8962011
2010
$3,650,781
$2,586,3192013 (Estimate)
2012
$14,203,406Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Whitley County should be preparing to absorb.
DSH Reductions: Whitley County
$145,672
$437,0152017
2016
$1,359,602
$1,213,931
2019
2018
$4,394,429Total
YEAR DSH Payment
$121,3932014
$145,6722015
$971,1452020
7/30/2019 Impact summary of 80 Kentucky counties with hospitals
http://slidepdf.com/reader/full/impact-summary-of-80-kentucky-counties-with-hospitals 80/80
Woodford
21,239
3,802
1,794
1,584
17,437
8.4%
7.5%
82.1%
1,434 $9,264,782
2,458 $5,283,353
Total Population Under 65
Uninsured
Insured
Number Percent
17.9%
Children
Adults
Enrollment Cost of their Care
3 892 $14 548 135T t l
HBE without subsidies
HBE with subsidies
Medicaid expansion
424 2.0%
Eligible for Insurance throug
As a result of the Affordable Care Act all individuals in
Kentucky will have access to affordable health insurance.
Individuals who earn more than 400% of the Federal
Poverty Level (FPL) may purchase insurance through the
Health Benefits Exchange; those with income between
138% and 400% of FPL will receive premium subsidies forinsurance purchased through the exchange; and
individuals who earn less than 138% of FPL will be eligible
for Medicaid. In Woodford County there are currently
3802 uninsured residents. When the Affordable Care Act
is implemented and Medicaid is expanded in January
20141794 of those people will have access to subsidized
insurance through the Health Benefits Exchange and 1584
will become eligible for Medicaid.
$57,722
$111,6952008
2007
$128,713
$132,7932010
2009
$126,6202011$557,543Total
YEAR
Medical and Dental
Spending
Insurance Coverage in Woodford County
Medicaid already plays a vital role in providing healthcareto Woodford County residents. The table below shows
the number of adults and children who received Medicaid
in 2012 and the amount the Medicaid program spent on
their care.
Medicaid Member Facts: Woodford County
Since Kentucky is expanding Medicaid, most prisoners in
county jails can have their hospitalization costs paid by
Medicaid when they are admitted for inpatient
treatment. The following table details total medical and
dental spending for the Woodford County jail. Your loca
jailer should have specific information regarding howmuch of this was for inpatient hospitalizations.
Woodford County jail spending
Since the Affordable Care Act provides universal access to
affordable healthcare, it also signifcantly reduced the
amount allotted for Disproportionate Share Hospita
(DSH) payments that traditionally reimburse hospitals for
uncompensated care. Hospitals in Woodford County
received the following DSH amounts in recent years.
DSH Payments: Woodford County
$167,647
$151,0042011
2010
$189,017
$179,4082013 (Estimate)
2012
$687,076Total
YEAR DSH Payment
The total amount of the DSH reductions in the Affordable
Care Act is $14.1 billion from 2014-2019. The table below
presents the reduction in DSH payments that hospitals in
Woodford County should be preparing to absorb.