Search Results for dsh

... resulted in no such change. This article argues that any explanation for this outcome needs to incorporate both structure and process. In terms of structure, the rules of the Medicaid disproportionate-share hospital (DSH) program give states substantial independent authority to decide which hospitals...

... to have an outlet for expenditures. The most popular mechanism was disproportion- ate share hospital (DSH) programs. Although federal law permits states great flexibility in determining Medicaid hospital payment methods and levels, the payment method must be consistent and cannot exceed...

... , no. 6 : 1105 – 22 . doi:10.1016/j.jhealeco.2003.07.001 . Blewett L. 2012 . “ACA Data Note: Hospitals, Medicaid Expansion, and Disproportionate Share Hospital (DSH) Payments.” July 5 . State Health Access Data Assistance Center . www.shadac.org/blog/aca-data-note-hospitals...

... Commission (MedPAC 1999a) estimates that Medicare’s IME payments to teaching hospitals were about $3.7 billion in 1999. Disproportionate-Share Hospital (DSH) Payments. Since 1986, Medicare has provided additional payments to DSHs that serve high proportions of low...

... by government programs, a move that recognizes the comprehensiveness of the cen- ters’ services and their willingness to treat the uninsured (ACA section 10104). Second, although the ACA cuts payments to disproportionate-­share hospitals (DSH), it does not eliminate DSH payments altogether. Instead...

.../medicaid/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/ . KFF (Kaiser Family Foundation) . 2014a . “ Federal Medicaid Disproportionate Share Hospital (DSH) Allotments .” kff.org/medicaid/state-indicator/federal-dsh-allotments/ . KFF (Kaiser Family...

..., such as hospital size, teaching status, system affiliation, dispro- portionate share hospital (DSH) status, and status as a trauma center. Hos- pitals with more staffed beds and those that are system affiliated may have more capacity or resources to draw on to provide community benefits. Those with residency...

... program emerged as a strategy to preserve these funds as program dollars. The broad-based eligibility of the program, however, was a continuation of New Jersey's legacy of providing Medicaid supplementary funds that included UPL payments as well as disproportionate share hospital (DSH) funds beyond...

... or disproportionate share hospitals (DSH) that receive federal funds to provide a disproportionate share of cost to Medicaid patients and the uninsured. The LA County Department of Health Services operates a network of four public hospitals and nineteen freestanding clinics. During the 2012–13 fiscal year, the LA...

... of disproportionate-share payments (DSH) to state psychiatric hospitals. These funds provide additional payments to designated hospitals that care for disproportionate numbers of Medicaid beneficiaries and unin- sured patients. Several states have taken advantage of the ability to des- ignate “specialty hospitals...

... are equally uneasy about the imminent reductions in their disproportionate-share hospital (DSH) payments that are allotted to institutions treating relatively large percentages of uninsured patients. The demand for unpaid care persists, but fewer DSH dollars will be available to subsidize it. At stake...

... extensive use of provider donations and taxes in conjunction with disproportionate share (DSH) payments to finance the expansion of Medicaid and the required state contribution (Holahan and Liska 1995). (The DSH payment adjustment is made under the Medicaid program to hospitals that serve a relatively...

..., Policy and Law Disproportionate Share Hospital (DSH) program and promises better tar- geting of these monies. For some three decades, DSH funds have flowed to hospitals with higher percentages of patients on Medicaid or without insurance. As discussed in Miller’s essay in this issue, the health...

...-Share Hospital Funding (DSH) (1981) Preserve access to and provide support to safety-net hospitals. Largest dedicated funding source for uncompensated care. Initial program imposed no upper limit on total expenditures for DSH. Phased out under the ACA through 2021. Initially ignored by states. Series...

... UPL and DSH Financing Mechanisms. Health Affairs 23 ( 2 ): 245 -257. Coughlin, T. A., and S. Zuckerman. 2002. States' Use of Medicaid Maximization Strategies to Tap Federal Revenues: Program Implications and Consequences. Washington, DC: Urban Institute. www.urban.org/url.cfm?ID=310525...

... those of other payers, and continued uncertainty over the long-term future of the disproportionate share hospital (DSH) program. This misalignment in the current financial arrangements presents a challenge to full system integration. Although safety net hospitals often provide primary and community care...

... in support of expansion. They argued that, with the pending end of disproportionate-share hospital (DSH) funds, Missouri hospitals large and small would be financially threatened without Medicaid expansion. A grassroots organization, the Missouri Medicaid Coalition, was formed as a way to mobilize groups...

... generously assume only 90 percent of actual costs, with disproportionate share hospital (DSH) payments included. Medicaid, until the 2014 expansion in many states, represented about 15 percent market share and also pays about 90 percent of costs, with DSH payments included and with substantial state...

..., such areas are more likely to receive compensation for medi- cal residents through graduate medical education supplements (GME) or through the disproportionate-­share hospitals (DSH) program for facilities treating low-­income patients. Thus one can write regional expenditures as reflecting...

... ). In 2010, Ohio's annual DSH allotment from the federal government was $363 million, funds meant to cover costs associated with uncompensated care in 190 hospitals (Department of Health and Human Services OIG 2006 ). With the loss of these funds under the ACA, OHA strongly supported expansion in order...