Medicaid expansion story for The Washington Post

Remember all the reporting I did earlier this year on Grady Memorial Hospital for Creative Loafing? Well, it ended up turning into one more piece. The kind folks at The Washington Post ran my story, "This Georgia hospital shows why rejecting Medicaid isn’t easy."

Here's a snippet:

 The Affordable Care Act was originally written such that every state would have to accept a Medicaid expansion. But the Supreme Court struck down that part of the law last year. The result is an unexpected bind for safety-net hospitals in states that are refusing Medicaid. How bad of a bind? Just look at the choices facing Atlanta’s Grady Memorial Hospital. 

 Grady, Georgia’s largest hospital, with more than 950 beds, has long been considered the backbone of metro Atlanta’s health-care system. It serves about 600,000 patients every year, trains one-quarter of Georgia’s physicians and provides medical care to more uninsured patients than any other hospital in the state. 

 But like a number of other safety-net hospitals nationwide that provide uncompensated care to uninsured patients, Grady may be forced to make service cuts in light of Georgia’s refusal to expand its Medicaid program. 

 The state’s leaders have steadfastly opposed expanding Medicaid since expansion became an option last summer. Because of that development, Grady officials say that the Affordable Care Act could now be the worst thing to happen to the hospital — an 121-year-old institution that’s all too familiar with financial struggles.

Check out the full story over at The Washington Post's Wonkblog.
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