Georgia’s faltering Medicaid program received a massive financial bandage Wednesday when Gov. Nathan Deal signed a measure into law to avert a roughly $700 million hole in the state’s health care budget.
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How the ‘bed tax’ works
The state charges hospitals 1.45 percent of net patient revenue to help pay for Medicaid. Trauma centers pay 1.40 percent. That money enables the state to draw federal matching dollars. Dollars are redistributed to hospitals based on Medicaid services they provide. Hospitals that care for a lot of Medicaid patients can get back more than they pay, while those that don’t may have a net loss on the tax. The “bed tax” was first established in 2010.
‘Bed tax’ winners and losers
Hospitals that netted the most (fiscal 2011)
Provider/Paid in/Got back/Difference
Children’s Healthcare Egleston/$4,903,332/$18,720,748.16/$13,817,416.16
Grady Memorial Hospital/$4,408,285/$14,254,713.13/$9,846,428.13
Children’s Healthcare Scottish Rite/$4,809,355/$13,759,328.19/$8,949,973.19
DeKalb Medical Center/$3,305,478/$6,134,394.90/$2,828,916.90
The Medical Center (Columbus)/$2,537,074/$4,623,697.07/$2,086,623.07
Hospitals that lost the most
St. Joseph’s Atlanta/$4,563,855/$961,508.23/-$3,602,346.77
Emory University Hospital/$8,507,035/$5,111,089.88/-$3,395,945.12