The ACA Medicaid Expansion, Disproportionate Share Hospitals, and Uncompensated Care
نویسندگان
چکیده
منابع مشابه
Medicaid expansion opt-outs and uncompensated care.
n engl j med 367;25 nejm.org december 20, 2012 2365 new front in the health care reform debate. By a seven-to-two margin, the justices found unduly coercive the government’s plan to withhold all federal Medicaid funds from states that don’t expand their Medicaid programs. Staking out a middle ground, the Court ruled that the ACA’s Medicaid expansion could go forward as an option for states. Alr...
متن کاملThe Medicaid Disproportionate Share Hospital Payment Program
programs to “take into account the situation of hospitals that serve a disproportionate number of low-income patients with special needs” when determining payment rates for inpatient hospital care. This requirement is referred to as the Medicaid disproportionate share hospital (DSH) payment adjustment. Expenditures for DSH have increased significantly in recent years: Between 1990 and 1996, for...
متن کاملReforming the Medicaid Disproportionate Share Hospital Program
Since 1991, three Federal laws have sought to reform the Medicaid disproportionate share hospital (DSH) program, which is designed to help safety net hospitals. This article provides findings from a 40-State survey about Medicaid DSH and supplemental payment programs in 1997. Results indicate that the overall size of the DSH program did not grow from 1993 to 1997, but the composition of DSH rev...
متن کاملThe Impact of the ACA's Medicaid Expansion on Hospitals' Uncompensated Care Burden and the Potential Effects of Repeal.
ISSUE: By increasing health insurance coverage, the Affordable Care Act's Medicaid eligibility expansion was also expected to lessen the uncompensated care burden on hospitals. The expansion currently faces an uncertain future. GOAL: To compare the change in hospitals' uncompensated care burden in the 31 states (plus the District of Columbia) that chose to expand Medicaid to the changes in stat...
متن کاملChanging state and federal payment policies for Medicaid disproportionate-share hospitals.
The Medicaid disproportionate-share hospital (DSH) program has been the subject of considerable policy debate throughout the 1990s, prompting Congress to revise the program three times since 1991. Using Medicaid administrative data and information obtained from twelve state case studies, we examined how the study states dealt with the federal reforms. We found a variety of state responses, rang...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Health Services Research
سال: 2017
ISSN: 0017-9124
DOI: 10.1111/1475-6773.12702