Chapter 3 of the March Report to Congress on Medicaid and CHIP contains MACPAC’s annual statutorily required DSH analyses. The analyses in this chapter underscore MACPAC’s prior findings that DSH allotments have little meaningful relationship to measures of uncompensated care at the state level. Much of the variation in state DSH allotments reflects their basis on historic patterns of spending. We also find that CMS’s methodology for implementing DSH allotment reductions would preserve most of this historical variation.
Publication Type: Reports to Congress