Medicare/Medicaid Financial Impact Study-Year Two In 1999, the Healthcare Association of Hawaii engaged Ernst & Young to conduct a study of the financial impact of the Balanced Budget Act (BBA) of 1997 and proposed Medicaid changes on the reimbursement of Hawaii's hospitals and nursing facilities. The study was updated in 2000 providing for further changes in Medicare and Medicaid reimbursements and for operational changes at each of the participating facilities. This update serves to validate the results provided in the 1999 study and to emphasize the ongoing financial impact on Hawaii's healthcare facilities. The BBA impacts include the effect of the BBRA and the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) that was passed by Congress in December 2000 and provides additional BBA relief. Because of the importance of the information presented in the report, the Healthcare Association of Hawaii believes that the information should be updated on an annual basis to present more current data and results. 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. 1999 Report Summary Points 2000 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