Medicare/Medicaid Financial Impact Study The Balanced Budget Act (BBA) of 1997 reduced federal reimbursements from Medicare and Medicaid for a period of five years. While the magnitude of these reduced reimbursements was known to be significant, the specific impacts on Hawaii's health care system were not known. HAH contracted with Ernst & Young LLP for a study to determine the impacts of BBA reductions to Medicare and Medicaid over the five year period. The study has been updated to incorporate the effects of BBA relief legislation. It also assesses the impacts that potential changes in Medicaid reimbursements and other factors affecting costs will have for hospitals and nursing facilities. These impacts are substantial. The study was completed at the end of November, 1999. If you have any questions regarding this study, please call Richard Meiers, President and CEO or Joan White, Vice President. Both can be reached at (808) 521-8961. See Report (You must have Adobe Acrobat Reader, which is free to view this report.) Working together for the health of Hawaii's people since 1939. Home | Acute Care | Long Term Care | Legislative Watch | Members | Emergency Management About HAH | Programs & Publications | News | Calendar | Patient Safety Contact us