Baxter Morgan

speaker

266 appearances 1 recordings 1 series first heard Jul 2026 last heard 28 Jul

Baxter Morgan’s voice in public audio — every appearance, attributed to the second.

Trend

recordings per month · last 12 months

Recordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.

Appearances

newest first · ▶ plays the moment

AHLA's Speaking of Health Law · Financing Medicaid Payments: Past, Present, and Future After the OBBBA · 28 Jul 2026 podcast

I mean, it was like before OB3 passed, I think it was 49 states were using provider taxes in some way, shape, or form.

And Alaska was the one that did not.

And I think that was just a logistical issue of Alaska being so big and the way their healthcare system is set up that it's not really

It wasn't really feasible for them to use a provider tax.

Also, I think Alaskans are a little tax averse to begin with, since they actually get a payment from their state government rather than paying taxes in most of the time.

But uh so 49 states were using these in a varying, you know, degrees on different service lines.

But really it was the the states and then smaller units of government, so you know, a city, a county, a hospital district were using taxes on

be it inpatient hospital services, outpatient, nursing facility services.

I think there's a few that relate to managed care organizations and and the finance and the funds that run through those.

But the general idea is that the state or the unit of government was able to assess a tax that could then be used to provide the non-federal share of these supplemental payments.

And for a long time, you know, the the push was: how do we get providers paid more or at least, you know, at least closer to cost for the services they're providing?

Because that does function as an overarching limit on all of these programs, is that if if a hospital is participating in the Medicaid dish.

program, which is sort of a fundamental program for protecting the indigent.

And in some states with a waiver program that you know they apply this as as well.

But there's a limit that you can only get paid from Medicaid what your cost of treating the Medicaid and uninsured patient population is, just as general rules.

And still, even with these escalating limits, supplemental payments, most providers were still underpaid because of the low base rates that they treat, and because of the huge uninsured patient populations they have.

I mean, in Texas, it's something like a quarter of our patients are uninsured.

We've got over a million uninsured kids in Texas and just a a ton of folks who are, you know, often the neediest both financially and on the medical service side, but lacking the mechanism to get the providers reimbursed for treating them.

So CMS and the states work together to sort of get these closer to covering that cost.

But it's all you know, it it it becomes like uh, you know, one bucket filling the other and pushing one thing down and

Showing 41–60 of 266 · page 3 of 14