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Examining the Policy Implications of Medicaid Non-Disproportionate Share Hospital Supplemental Payments

MACPAC is charged with examining all aspects of Medicaid payment and the relationships between payment, access, and quality of care, and it has begun to take a closer look at states’ payments to providers and their methods for determining them. Medicaid fee-for-service (FFS) non-disproportionate share (DSH) supplemental payments and the health care related taxes that states have used, in part, to finance these payments merit closer attention. Non-DSH supplemental payments account for more than 20 percent of total Medicaid FFS payments to hospitals nationally and more than 50 percent in some states.

However, non-DSH supplemental payments are not reported to the federal government at the provider level in a readily usable format. In Chapter 6 of MACPAC’s March 2014 report, the Commission recommends that the Secretary of the U.S. Department of Health and Human Services collect provider-level non-DSH supplemental payment data in order to gain a meaningful understanding of states’ approaches to financing their Medicaid programs. Read more about non-DSH supplemental payments and how they contribute to Medicaid financing.

From: March 2014 Report to the Congress on Medicaid and CHIP