Double whammy for facilities serving low-income patients

THE GLOBE'S analysis of the complex issue of reimbursement inequities among hospitals is imperative to understanding our healthcare system at this critical period. Reimbursement rates for services are another area where inequities exist and may be even more pronounced.

Last year, mental health and substance abuse services were reimbursed by Medicaid at an average rate of just 63 percent. Grossly low reimbursement rates were similarly provided for emergency care, primary care, and other critical care services. The most profound inequities are present in those hospitals that receive lower reimbursement than other hospitals for the same medical procedures while choosing to provide a greater share of services that are reimbursed inadequately across the board.

As a state senator representing geographic areas that are served by both the Cambridge Health Alliance and Boston Medical Center, I have seen the essential services that their hospitals and clinics provide. Hospitals across the Commonwealth that also care for a disproportionate number of low-income patients are likewise paid well below the actual cost of care.

We must maintain hospital, emergency department, and health clinic infrastructure while reimbursement disparities are addressed. It would be counterproductive and contradictory to the mission of healthcare reform to lose critical infrastructure as a result of reimbursement inequities.

Anthony D. Galluccio
State senator
Democrat of Cambridge