Review of Draft March Report Chapter: Analyzing Disproportionate Share Hospital Allotments to States

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December 2017

Congress requires MACPAC to report annually on the relationship between federal disproportionate share hospital (DSH) allotments to states and three indicators of the need for DSH funds: (1) the number of uninsured individuals; (2) the amount of hospital uncompensated care; and, (3) the number of hospitals with high levels of uncompensated care that also provide essential community services.

This slide set reviews a draft chapter on DSH payment planned for the March 2018 report finding, among other issues, that:

  • there continues to be little meaningful relationship between DSH allotments and the factors that Congress asked MACPAC to consider, even after DSH allotment reductions;
  • 18 states have fiscal year (FY) 2018 DSH allotment reductions that are greater than the decline in uncompensated care between 2013 and 2015; and
  • FY 2018 DSH allotments exceed the total amount of uncompensated care in 2015 in 11 states.

Publication Type: Presentations

From: December 2017 MACPAC Public Meeting

Tags: disproportionate share hospital (DSH) payment, hospitals, Medicaid expansion, payment