Health Care Recovery Dollars
Health care recovery dollars are funds reimbursed to hospitals as a result of a successful appeal of improperly denied Medicaid or Social Security Disability application. Normally, when a hospital has treated an uninsured individual whose application for public health insurance has been denied, the hospital will remain unpaid for those services provided. Yet if a legal service organization can help that individual successfully appeal his or her Medicaid denial, the hospital can then re-bill Medicaid for the services rendered since the initial date of application (and oftentimes before) and be reimbursed for the healthcare provided to that now-insured patient. In this way, the legal services provided have a direct financial impact on the hospital; legal aid organizations become money-making partners with their medical counterpart.
White paper on how medical-legal partnerships can utilize health care recovery dollars as a funding strategy.
Legal Care Good for Patients, Good for Hospitals’ Bottom Lines (LegalHealth)
Article highlights the cost-effectiveness of medical-legal partnerships, citing the money that legal clinics can save hospitals through revenue producing services, particularly around insurance and benefits.
Legal Aid of Western Missouri’s Medicaid Appeals Pilot Project (MLPC |
Grant report for project designed to represent patient-families who are eligible for but were denied Medicaid benefits. The result is both to obtain necessary insurance for families and raise revenue for the medical partner.