Anderson

As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Anderson County there are currently 3116 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 1498 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1280 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Anderson County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Anderson County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $16,774 $26,512 $10,664 $15,523 $24,388 $93,862

Insurance Coverage in Anderson County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

18,701 15,585 3,116
338 1,498 1,280

83.3% 16.7%
1.8% 8.0% 6.8%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Anderson County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Anderson County
Children Adults Total Enrollment 2,515 1,558 4,073 Cost of their Care $6,974,777 $11,156,116 $18,130,893

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Anderson County
Providers Accepting Medicaid Reimbursements Paid to Providers 39 $5,563,341

Ballard
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Ballard County there are currently 1132 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 493 of those people will have access to subsidized insurance through the Health Benefits Exchange and 544 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Ballard County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Ballard County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $64,297 $189,791 $81,474 $81,114 $59,890 $476,566

Insurance Coverage in Ballard County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

6,689 5,557 1,132
95 493 544

83.1% 16.9%
1.4% 7.4% 8.1%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Ballard County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Ballard County
Children Adults Total Enrollment 1,031 776 1,807 Cost of their Care $2,571,323 $6,534,623 $9,105,946

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Ballard County
Providers Accepting Medicaid Reimbursements Paid to Providers 15 $3,668,368

Bath
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Bath County there are currently 1847 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 754 of those people will have access to subsidized insurance through the Health Benefits Exchange and 977 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Bath County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Bath County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $599 $18,434 $14,441 $12,896 $1,287 $47,658

Insurance Coverage in Bath County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

9,872 8,025 1,847
116 754 977

81.3% 18.7%
1.2% 7.6% 9.9%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Bath County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Bath County
Children Adults Total Enrollment 2,407 2,098 4,505 Cost of their Care $5,153,209 $15,814,868 $20,968,077

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Bath County
Providers Accepting Medicaid Reimbursements Paid to Providers 21 $7,224,775

Bracken
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Bracken County there are currently 1342 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 559 of those people will have access to subsidized insurance through the Health Benefits Exchange and 676 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Bracken County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Bracken County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $15,404 $10,814 $11,846 $5,546 $22,083 $65,693

Insurance Coverage in Bracken County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

7,289 5,947 1,342
107 559 676

81.6% 18.4%
1.5% 7.7% 9.3%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Bracken County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Bracken County
Children Adults Total Enrollment 1,307 964 2,271 Cost of their Care $2,181,189 $6,137,259 $8,318,448

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Bracken County
Providers Accepting Medicaid Reimbursements Paid to Providers 17 $2,739,097

Bullitt
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Bullitt County there are currently 9778 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 4836 of those people will have access to subsidized insurance through the Health Benefits Exchange and 3852 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Bullitt County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Bullitt County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $200,119 $34,881 $241,332 $244,272 $265,899 $986,503

Insurance Coverage in Bullitt County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

65,271 55,493 9,778
1,090 4,836 3,852

85.0% 15.0%
1.7% 7.4% 5.9%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Bullitt County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Bullitt County
Children Adults Total Enrollment 8,070 4,018 12,088 Cost of their Care $23,092,900 $37,852,270 $60,945,169

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Bullitt County
Providers Accepting Medicaid Reimbursements Paid to Providers 81 $16,334,175

Butler
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Butler County there are currently 2205 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 969 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1090 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Butler County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Butler County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $5,032 $7,392 $11,040 $2,663 $6,274 $32,401

Insurance Coverage in Butler County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

10,571 8,366 2,205
146 969 1,090

79.1% 20.9%
1.4% 9.2% 10.3%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Butler County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Butler County
Children Adults Total Enrollment 2,052 1,548 3,600 Cost of their Care $4,293,887 $15,293,984 $19,587,870

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Butler County
Providers Accepting Medicaid Reimbursements Paid to Providers 26 $10,553,428

Carlisle
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Carlisle County there are currently 819 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 367 of those people will have access to subsidized insurance through the Health Benefits Exchange and 383 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Carlisle County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Carlisle County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $3,660 $3,128 $3,356 $1,452 $1,351 $12,948

Insurance Coverage in Carlisle County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

4,110 3,291 819
69 367 383

80.1% 19.9%
1.7% 8.9% 9.3%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Carlisle County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Carlisle County
Children Adults Total Enrollment 744 577 1,321 Cost of their Care $1,505,365 $5,886,132 $7,391,497

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Carlisle County
Providers Accepting Medicaid Reimbursements Paid to Providers 11 $3,039,293

Carter
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Carter County there are currently 4244 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 1711 of those people will have access to subsidized insurance through the Health Benefits Exchange and 2208 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Carter County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Carter County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $122,375 $224,375 $169,154 $229,233 $227,578 $972,716

Insurance Coverage in Carter County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

22,967 18,723 4,244
325 1,711 2,208

81.5% 18.5%
1.4% 7.4% 9.6%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Carter County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Carter County
Children Adults Total Enrollment 4,639 3,945 8,584 Cost of their Care $11,462,864 $31,254,269 $42,717,132

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Carter County
Providers Accepting Medicaid Reimbursements Paid to Providers 67 $15,684,768

Edmonson
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Edmonson County there are currently 2218 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 989 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1058 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Edmonson County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Edmonson County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $34,147 $18,057 $13,267 $6,953 $11,540 $83,964

Insurance Coverage in Edmonson County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

10,088 7,870 2,218
171 989 1,058

78.0% 22.0%
1.7% 9.8% 10.5%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Edmonson County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Edmonson County
Children Adults Total Enrollment 1,674 1,288 2,962 Cost of their Care $3,392,283 $11,667,603 $15,059,886

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Edmonson County
Providers Accepting Medicaid Reimbursements Paid to Providers 18 $5,919,837

Elliott
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Elliott County there are currently 1138 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 440 of those people will have access to subsidized insurance through the Health Benefits Exchange and 634 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Elliott County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Elliott County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $50,331 $44,629 $31,618 $22,848 $26,751 $176,177

Insurance Coverage in Elliott County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

5,773 4,635 1,138
64 440 634

80.3% 19.7%
1.1% 7.6% 11.0%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Elliott County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Elliott County
Children Adults Total Enrollment 1,278 1,110 2,388 Cost of their Care $2,298,409 $8,802,875 $11,101,285

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Elliott County
Providers Accepting Medicaid Reimbursements Paid to Providers 16 $2,136,420

Gallatin
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Gallatin County there are currently 1515 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 647 of those people will have access to subsidized insurance through the Health Benefits Exchange and 748 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Gallatin County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Gallatin County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $9,773 $3,107 $6,945 $6,912 $4,679 $31,416

Insurance Coverage in Gallatin County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

7,565 6,050 1,515
120 647 748

80.0% 20.0%
1.6% 8.6% 9.9%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Gallatin County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Gallatin County
Children Adults Total Enrollment 1,480 971 2,451 Cost of their Care $3,143,991 $10,699,499 $13,843,490

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Gallatin County
Providers Accepting Medicaid Reimbursements Paid to Providers 13 $5,259,137

Garrard
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Garrard County there are currently 3118 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 1440 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1409 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Garrard County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Garrard County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $46,591 $36,665 $56,514 $74,990 $71,025 $285,785

Insurance Coverage in Garrard County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

14,349 11,231 3,118
269 1,440 1,409

78.3% 21.7%
1.9% 10.0% 9.8%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Garrard County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Garrard County
Children Adults Total Enrollment 2,411 1,770 4,181 Cost of their Care $5,347,802 $13,523,585 $18,871,387

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Garrard County
Providers Accepting Medicaid Reimbursements Paid to Providers 26 $5,470,389

Greenup
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Greenup County there are currently 4984 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 2285 of those people will have access to subsidized insurance through the Health Benefits Exchange and 2272 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Greenup County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Greenup County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $32,434 $56,302 $65,412 $113,697 $119,330 $387,175

Insurance Coverage in Greenup County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

30,229 25,245 4,984
427 2,285 2,272

83.5% 16.5%
1.4% 7.6% 7.5%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Greenup County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Greenup County
Children Adults Total Enrollment 4,520 3,696 8,216 Cost of their Care $11,029,601 $38,213,030 $49,242,631

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Greenup County
Providers Accepting Medicaid Reimbursements Paid to Providers 86 $21,951,357

Hancock
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Hancock County there are currently 1100 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 487 of those people will have access to subsidized insurance through the Health Benefits Exchange and 531 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Hancock County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Hancock County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $57,802 $33,552 $18,044 $10,896 $17,995 $138,289

Insurance Coverage in Hancock County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

7,295 6,195 1,100
82 487 531

84.9% 15.1%
1.1% 6.7% 7.3%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Hancock County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Hancock County
Children Adults Total Enrollment 1,099 768 1,867 Cost of their Care $3,143,387 $5,862,458 $9,005,845

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Hancock County
Providers Accepting Medicaid Reimbursements Paid to Providers 21 $2,378,729

Henry
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Henry County there are currently 2505 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 1129 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1170 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Henry County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Henry County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $29,955 $7,641 $11,831 $5,601 $8,672 $63,700

Insurance Coverage in Henry County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

13,089 10,584 2,505
206 1,129 1,170

80.9% 19.1%
1.6% 8.6% 8.9%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Henry County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Henry County
Children Adults Total Enrollment 2,159 1,290 3,449 Cost of their Care $5,958,809 $12,766,975 $18,725,784

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Henry County
Providers Accepting Medicaid Reimbursements Paid to Providers 28 $7,432,062

Hickman
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Hickman County there are currently 718 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 314 of those people will have access to subsidized insurance through the Health Benefits Exchange and 343 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Hickman County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Hickman County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $30,807 $59,240 $65,246 $49,604 $51,040 $255,937

Insurance Coverage in Hickman County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

3,730 3,012 718
61 314 343

80.8% 19.2%
1.6% 8.4% 9.2%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Hickman County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Hickman County
Children Adults Total Enrollment 552 494 1,046 Cost of their Care $1,075,842 $3,686,758 $4,762,600

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Hickman County
Providers Accepting Medicaid Reimbursements Paid to Providers 16 $2,098,946

Jackson
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Jackson County there are currently 2386 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 950 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1308 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Jackson County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Jackson County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $56,911 $35,393 $51,111 $75,280 $110,783 $329,479

Insurance Coverage in Jackson County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

11,589 9,203 2,386
128 950 1,308

79.4% 20.6%
1.1% 8.2% 11.3%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Jackson County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Jackson County
Children Adults Total Enrollment 2,480 2,702 5,182 Cost of their Care $4,886,143 $20,049,545 $24,935,688

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Jackson County
Providers Accepting Medicaid Reimbursements Paid to Providers 42 $9,398,709

Jessamine
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Jessamine County there are currently 7643 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 3474 of those people will have access to subsidized insurance through the Health Benefits Exchange and 3472 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Jessamine County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Jessamine County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $76,318 $98,431 $111,494 $138,994 $234,074 $659,312

Insurance Coverage in Jessamine County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

41,501 33,858 7,643
697 3,474 3,472

81.6% 18.4%
1.7% 8.4% 8.4%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Jessamine County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Jessamine County
Children Adults Total Enrollment 6,274 3,652 9,926 Cost of their Care $13,134,859 $25,472,829 $38,607,688

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Jessamine County
Providers Accepting Medicaid Reimbursements Paid to Providers 85 $21,659,949

Knott
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Knott County there are currently 2396 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 998 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1211 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Knott County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Knott County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $113,423 $77,738 $61,842 $61,537 $61,561 $376,102

Insurance Coverage in Knott County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

13,602 11,206 2,396
187 998 1,211

82.4% 17.6%
1.4% 7.3% 8.9%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Knott County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Knott County
Children Adults Total Enrollment 3,123 3,251 6,374 Cost of their Care $7,252,254 $29,685,918 $36,938,173

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Knott County
Providers Accepting Medicaid Reimbursements Paid to Providers 42 $12,157,449

Larue
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Larue County there are currently 2334 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 1041 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1112 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Larue County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Larue County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $55,599 $64,410 $160,132 $172,733 $188,589 $641,462

Insurance Coverage in Larue County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

11,706 9,372 2,334
181 1,041 1,112

80.1% 19.9%
1.5% 8.9% 9.5%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Larue County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Larue County
Children Adults Total Enrollment 2,189 1,477 3,666 Cost of their Care $5,701,577 $15,460,478 $21,162,055

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Larue County
Providers Accepting Medicaid Reimbursements Paid to Providers 27 $13,072,172

Lee
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Lee County there are currently 1080 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 390 of those people will have access to subsidized insurance through the Health Benefits Exchange and 638 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Lee County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Lee County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $5,798 $39,299 $25,310 $48,432 $36,250 $155,089

Insurance Coverage in Lee County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

5,860 4,780 1,080
52 390 638

81.6% 18.4%
0.9% 6.7% 10.9%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Lee County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Lee County
Children Adults Total Enrollment 1,574 1,965 3,539 Cost of their Care $3,735,061 $19,063,303 $22,798,365

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Lee County
Providers Accepting Medicaid Reimbursements Paid to Providers 26 $11,851,045

Lewis
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Lewis County there are currently 2497 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 979 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1370 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Lewis County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Lewis County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $15,075 $66,741 $96,673 $93,568 $83,336 $355,394

Insurance Coverage in Lewis County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

11,725 9,228 2,497
148 979 1,370

78.7% 21.3%
1.3% 8.3% 11.7%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Lewis County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Lewis County
Children Adults Total Enrollment 2,560 2,180 4,740 Cost of their Care $5,471,517 $17,704,432 $23,175,949

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Lewis County
Providers Accepting Medicaid Reimbursements Paid to Providers 41 $8,939,270

Lyon
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Lyon County there are currently 1014 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 454 of those people will have access to subsidized insurance through the Health Benefits Exchange and 467 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Lyon County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Lyon County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $2,212 $5,943 $1,932 $1,814 $3,256 $15,157

Insurance Coverage in Lyon County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

5,514 4,500 1,014
93 454 467

81.6% 18.4%
1.7% 8.2% 8.5%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Lyon County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Lyon County
Children Adults Total Enrollment 748 714 1,462 Cost of their Care $1,227,128 $7,154,719 $8,381,847

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Lyon County
Providers Accepting Medicaid Reimbursements Paid to Providers 18 $5,244,556

Magoffin
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Magoffin County there are currently 2038 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 825 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1083 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Magoffin County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Magoffin County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $63,385 $79,989 $32,036 $44,146 $63,675 $283,230

Insurance Coverage in Magoffin County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

11,578 9,540 2,038
130 825 1,083

82.4% 17.6%
1.1% 7.1% 9.4%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Magoffin County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Magoffin County
Children Adults Total Enrollment 3,038 3,326 6,364 Cost of their Care $8,289,744 $29,730,784 $38,020,528

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Magoffin County
Providers Accepting Medicaid Reimbursements Paid to Providers 40 $19,296,345

Martin
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Martin County there are currently 1555 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 627 of those people will have access to subsidized insurance through the Health Benefits Exchange and 814 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Martin County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Martin County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $39,243 $31,606 $30,461 $44,751 $51,079 $197,141

Insurance Coverage in Martin County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

9,867 8,312 1,555
114 627 814

84.2% 15.8%
1.2% 6.4% 8.2%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Martin County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Martin County
Children Adults Total Enrollment 2,444 2,635 5,079 Cost of their Care $5,515,993 $19,284,874 $24,800,867

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Martin County
Providers Accepting Medicaid Reimbursements Paid to Providers 33 $9,204,088

McCreary
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In McCreary County there are currently 3117 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 1125 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1861 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the McCreary County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

McCreary County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $85,177 $88,848 $54,573 $53,138 $96,711 $378,447

Insurance Coverage in McCreary County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

14,355 11,238 3,117
131 1,125 1,861

78.3% 21.7%
0.9% 7.8% 13.0%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to McCreary County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: McCreary County
Children Adults Total Enrollment 3,833 3,879 7,712 Cost of their Care $9,126,483 $29,282,919 $38,409,402

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: McCreary County
Providers Accepting Medicaid Reimbursements Paid to Providers 56 $15,797,406

McLean
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In McLean County there are currently 1397 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 602 of those people will have access to subsidized insurance through the Health Benefits Exchange and 665 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the McLean County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

McLean County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $16,432 $16,432 $4,067 $7,401 $3,634 $47,965

Insurance Coverage in McLean County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

7,837 6,440 1,397
130 602 665

82.2% 17.8%
1.7% 7.7% 8.5%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to McLean County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: McLean County
Children Adults Total Enrollment 1,404 981 2,385 Cost of their Care $2,985,893 $8,454,469 $11,440,362

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: McLean County
Providers Accepting Medicaid Reimbursements Paid to Providers 14 $4,511,331

Meade
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Meade County there are currently 4322 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 2003 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1962 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Meade County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Meade County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $30,063 $55,440 $44,255 $37,412 $40,464 $207,635

Insurance Coverage in Meade County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

25,340 21,018 4,322
357 2,003 1,962

82.9% 17.1%
1.4% 7.9% 7.7%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Meade County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Meade County
Children Adults Total Enrollment 3,285 1,600 4,885 Cost of their Care $8,640,763 $14,072,255 $22,713,018

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Meade County
Providers Accepting Medicaid Reimbursements Paid to Providers 26 $5,233,178

Menifee
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Menifee County there are currently 1108 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 444 of those people will have access to subsidized insurance through the Health Benefits Exchange and 604 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Menifee County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Menifee County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $12,335 $7,419 $2,970 $0 $968 $23,692

Insurance Coverage in Menifee County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

5,294 4,186 1,108
60 444 604

79.1% 20.9%
1.1% 8.4% 11.4%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Menifee County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Menifee County
Children Adults Total Enrollment 1,292 1,169 2,461 Cost of their Care $2,609,724 $8,841,468 $11,451,192

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Menifee County
Providers Accepting Medicaid Reimbursements Paid to Providers 24 $5,318,032

Metcalfe
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Metcalfe County there are currently 1901 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 781 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1025 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Metcalfe County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Metcalfe County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $1,225 $0 $533 $391 $229 $2,378

Insurance Coverage in Metcalfe County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

8,441 6,540 1,901
95 781 1,025

77.5% 22.5%
1.1% 9.3% 12.1%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Metcalfe County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Metcalfe County
Children Adults Total Enrollment 1,805 1,497 3,302 Cost of their Care $4,699,169 $13,014,734 $17,713,904

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Metcalfe County
Providers Accepting Medicaid Reimbursements Paid to Providers 24 $6,485,649

Owsley
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Owsley County there are currently 738 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 244 of those people will have access to subsidized insurance through the Health Benefits Exchange and 462 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Owsley County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Owsley County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $24,272 $19,770 $8,566 $17,513 $16,468 $86,590

Insurance Coverage in Owsley County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

3,970 3,232 738
32 244 462

81.4% 18.6%
0.8% 6.1% 11.6%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Owsley County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Owsley County
Children Adults Total Enrollment 1,095 1,642 2,737 Cost of their Care $3,437,019 $15,222,363 $18,659,382

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Owsley County
Providers Accepting Medicaid Reimbursements Paid to Providers 13 $6,789,275

Pendleton
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Pendleton County there are currently 2290 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 994 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1095 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Pendleton County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Pendleton County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $3,520 $4,988 $6,530 $5,719 $9,003 $29,759

Insurance Coverage in Pendleton County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

12,962 10,672 2,290
201 994 1,095

82.3% 17.7%
1.6% 7.7% 8.4%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Pendleton County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Pendleton County
Children Adults Total Enrollment 1,977 1,406 3,383 Cost of their Care $3,853,271 $11,353,095 $15,206,365

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Pendleton County
Providers Accepting Medicaid Reimbursements Paid to Providers 23 $4,186,792

Powell
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Powell County there are currently 2106 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 887 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1084 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Powell County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Powell County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $11,554 $117,672 $70,154 $110,171 $134,257 $443,808

Insurance Coverage in Powell County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

10,840 8,734 2,106
135 887 1,084

80.6% 19.4%
1.2% 8.2% 10.0%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Powell County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Powell County
Children Adults Total Enrollment 2,731 2,446 5,177 Cost of their Care $5,996,389 $18,088,493 $24,084,882

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Powell County
Providers Accepting Medicaid Reimbursements Paid to Providers 35 $7,600,582

Robertson
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Robertson County there are currently 386 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 163 of those people will have access to subsidized insurance through the Health Benefits Exchange and 198 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Robertson County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Robertson County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $3,466 $1,523 $662 $264 $926 $6,841

Insurance Coverage in Robertson County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

1,850 1,464 386
25 163 198

79.1% 20.9%
1.4% 8.8% 10.7%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Robertson County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Robertson County
Children Adults Total Enrollment 338 350 688 Cost of their Care $523,672 $4,470,341 $4,994,013

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Robertson County
Providers Accepting Medicaid Reimbursements Paid to Providers 4 $2,173,028

Spencer
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Spencer County there are currently 2453 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 1178 of those people will have access to subsidized insurance through the Health Benefits Exchange and 930 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Spencer County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Spencer County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $74,048 $30,120 $18,971 $2,880 $25,696 $151,715

Insurance Coverage in Spencer County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

15,160 12,707 2,453
345 1,178 930

83.8% 16.2%
2.3% 7.8% 6.1%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Spencer County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Spencer County
Children Adults Total Enrollment 1,627 949 2,576 Cost of their Care $4,780,541 $14,396,984 $19,177,524

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Spencer County
Providers Accepting Medicaid Reimbursements Paid to Providers 17 $8,213,132

Todd
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Todd County there are currently 2455 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 1117 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1170 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Todd County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Todd County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $42,223 $83,388 $111,771 $111,159 $122,334 $470,875

Insurance Coverage in Todd County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

10,458 8,003 2,455
168 1,117 1,170

76.5% 23.5%
1.6% 10.7% 11.2%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Todd County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Todd County
Children Adults Total Enrollment 1,821 1,112 2,933 Cost of their Care $3,667,861 $8,757,630 $12,425,491

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Todd County
Providers Accepting Medicaid Reimbursements Paid to Providers 18 $4,251,877

Trimble
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Trimble County there are currently 1381 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 599 of those people will have access to subsidized insurance through the Health Benefits Exchange and 659 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Trimble County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Trimble County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $3,901 $3,923 $11,579 $33,113 $19,920 $72,436

Insurance Coverage in Trimble County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

7,580 6,199 1,381
123 599 659

81.8% 18.2%
1.6% 7.9% 8.7%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Trimble County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Trimble County
Children Adults Total Enrollment 1,285 779 2,064 Cost of their Care $3,993,868 $7,058,325 $11,052,193

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Trimble County
Providers Accepting Medicaid Reimbursements Paid to Providers 15 $3,085,137

Washington
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Washington County there are currently 1894 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 847 of those people will have access to subsidized insurance through the Health Benefits Exchange and 904 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Washington County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Washington County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $12,729 $4,457 $8,928 $2,081 $1,293 $29,488

Insurance Coverage in Washington County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

9,645 7,751 1,894
143 847 904

80.4% 19.6%
1.5% 8.8% 9.4%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Washington County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Washington County
Children Adults Total Enrollment 1,518 1,149 2,667 Cost of their Care $4,805,581 $12,650,833 $17,456,414

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Washington County
Providers Accepting Medicaid Reimbursements Paid to Providers 25 $4,593,352

Webster
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Webster County there are currently 2327 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 1068 of those people will have access to subsidized insurance through the Health Benefits Exchange and 1038 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Webster County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Webster County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $18,497 $19,047 $70,839 $101,049 $173,340 $382,771

Insurance Coverage in Webster County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

11,181 8,854 2,327
221 1,068 1,038

79.2% 20.8%
2.0% 9.6% 9.3%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Webster County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Webster County
Children Adults Total Enrollment 1,835 1,303 3,138 Cost of their Care $4,175,263 $8,632,666 $12,807,929

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Webster County
Providers Accepting Medicaid Reimbursements Paid to Providers 28 $4,399,929

Wolfe
As a result of the Affordable Care Act all individuals in Kentucky will have access to affordable health insurance. Individuals who earn more than 400% of the Federal Poverty Level (FPL) may purchase insurance through the Health Benefits Exchange; those with income between 138% and 400% of FPL will receive premium subsidies for insurance purchased through the exchange; and individuals who earn less than 138% of FPL will be eligible for Medicaid. In Wolfe County there are currently 1112 uninsured residents. In January 2014 when the Affordable Care Act is implemented and Medicaid is expanded 397 of those people will have access to subsidized insurance through the Health Benefits Exchange and 658 will become eligible for Medicaid. Since Kentucky is expanding Medicaid, most prisoners in county jails can have their hospitalization costs paid by Medicaid when they are admitted for inpatient treatment. The following table details total medical and dental spending for the Wolfe County jail. Your local jailer should have specific information regarding how much of this was for inpatient hospitalizations.

Wolfe County jail spending
YEAR 2007 2008 2009 2010 2011 Total Medical and Dental Spending $6,663 $10,813 $17,337 $16,301 $17,095 $68,209

Insurance Coverage in Wolfe County
Number Percent

Total Population Under 65 Insured Uninsured
Eligible for Insurance through... HBE without subsidies HBE with subsidies Medicaid expansion

6,181 5,069 1,112
57 397 658

82.0% 18.0%
0.9% 6.4% 10.6%

Since the Affordable Care Act provides universal access to affordable healthcare, it also significantly reduced the amount allotted for Disproportionate Share Hospital (DSH) payments. Hospitals in Kentucky that are not stateowned received the following DSH amounts in recent years.

DSH Payments: Kentucky
YEAR 2010 2011 2012 2013 (Estimate) Total DSH Payment $176,553,846 $168,481,630 $173,805,787 $172,120,854 $690,962,117

Medicaid already plays a vital role in providing healthcare to Wolfe County residents. The table below shows the number of adults and children who received Medicaid in 2012 and the amount the Medicaid program spent on their care.

Medicaid Member Facts: Wolfe County
Children Adults Total Enrollment 2,308 2,544 4,852 Cost of their Care $7,341,592 $21,567,801 $28,909,394

The total amount of the DSH reductions in the Affordable Care Act is $14.1 billion from 2014-2019. The table below presents the reduction in DSH payments that hospitals in Kentucky that are not state owned should be preparing to absorb.

Medicaid is also a significant source of revenue for local Medical providers as shown in the following table.

DSH Reductions: Kentucky
YEAR 2014 2015 2016 2017 2018 2019 2020 Total DSH Payment $5,421,646 $6,505,975 $6,505,975 $19,517,925 $54,216,459 $60,722,434 $43,373,167 $196,263,580

Medicaid Provider Facts: Wolfe County
Providers Accepting Medicaid Reimbursements Paid to Providers 25 $17,402,078

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