Lehigh Valley Hospital Pocono – Monroe County – Tobacco Settlement Payment Data Year 2027

Lehigh Valley Hospital Pocono’s eligibility for the 2027 Tobacco Settlement Payment is assessed based on the procedures outlined by the Department of Human Services (DHS). The facility reported ten potential extraordinary expense claims for the fiscal year ending June 30, 2025, with seven meeting the eligibility criteria due to the cost of claims exceeding the facility average by over double. For accurate determination, patient payments and Medicare or Medicaid compensations were considered. Additionally, the report confirmed the accuracy of their inpatient and Medical Assistance days for fiscal 2024. The facility must adjust non-qualifying claims in the PHC4 database; failure to do so leads to ineligibility. DHS will use the database and cost reports to calculate subsidy payment eligibility for 2027. If eligible under both methods, facilities may choose the preferred subsidy method. All additional claims for self-pay eligibility must be submitted by October 31, 2026. This is an automated summary. Please rely on the contents included in the released audit report.