Improving the Structure of Disproportionate Share Hospital Allotment Reductions: Review of Draft Chapter and Recommendations for the March 2019 Report

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January 2019

This presentation reviews a package of three draft recommendations related to the structure of pending reductions in Medicaid disproportionate share hospital (DSH) allotments and a draft chapter that describes the Commission’s analyses and decision making process. The proposed recommendations were approved 16–1 and include:

  • phasing in reductions more gradually over a longer period of time;
  • applying reductions to unspent DSH funding first; and,
  • distributing reductions in a way that gradually improves the relationship between DSH allotments and the number of non-elderly, low-income individuals in a state.

The downloadable slide presentation reflects the text of the recommendation as discussed at this session.

Publication Type: Presentations

From: January 2019 MACPAC Public Meeting

Tags: disproportionate share hospital (DSH) payment, hospitals, supplemental payments