Impact summary of 80 Kentucky counties with hospitals

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 $31,009,218 Total 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 for insurance 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 $68,962 2008 2007 $116,562 $83,456 2010 2009 $82,970 2011 $395,931 Total YEAR Medical and Dental Spending Insurance Coverage in Adair County Medicaid already plays a vital role in providing healthcare to 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 of this 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 Hospital (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 $781,254 2011 2010 $799,273 $684,622 2013 (Estimate) 2012 $2,905,452 Total 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 $83,544 2017 2016 $259,914 $232,066 2019 2018 $840,080 Total YEAR DSH Payment $23,207 2014 $27,848 2015 $185,653 2020

Transcript of Impact summary of 80 Kentucky counties with hospitals

Page 1: Impact summary of 80 Kentucky counties with hospitals

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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.