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Review of Draft March Report Chapters on Disproportionate Share Hospital Payments

Statute requires MACPAC to report annually on Medicaid disproportionate share hospital payment (DSH) in its March report to Congress. This slide set reviews two draft chapters on DSH planned for the March 2017 report, one covering statutorily required information—how DSH allotments relate to changes in the number of uninsured individuals, hospitals’ uncompensated care costs, and the number of hospitals with high levels of uncompensated care that also provide essential community services—and the other analyzing possible approaches to better target DSH payments to hospitals that serve a disproportionate share of Medicaid and low-income patients and have high levels of uncompensated care.