Civil (Dis)Unions…

Good morning, ProviderNation.

Nothing like a good ole fashioned border war to start your day. The Cincinnati Enquirer blames an “outdated nursing home certification process” for a deluge of Kentuckians into the Great State of Ohio.

The Enquirer’s intrepid James Pilcher has some details:

“Boone, Campbell and Kenton counties have fewer than 1,500 nursing home beds certified for Medicaid/Medicare patients, an offshoot of what some say is an outdated nursing home certification process by the state. The situation is even worse for patients with conditions such as dementia and Alzheimer’s, with only a handful of qualified spots for such patients in Northern Kentucky.

“That contrasts sharply with the four main Ohio counties of Greater Cincinnati, which have a large surplus of nursing home facilities and nearly 12,000 certified beds, including several specializing in patients with declining mental health.”

And here’s the money shot: “So even though these individuals may have spent their entire lives in Northern Kentucky, Ohio is picking up the bill – at least for Medicaid patients,” Pilcher says.

Your Humble Correspondent wonders a.) How common this problem is along state borders (particularly in states where big cities are near the border) and b.) Whether this is going to get worse should Obamacare be implemented and there’s a patchwork of states in or out of Medicaid expansion.

 

 

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