Themes from Interviews on the Development of Hospital Payment Policies

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September 2018

To better understand how states develop their Medicaid hospital payment policies, MACPAC contracted with Health Management Associates to interview state officials and stakeholders in five states (Arizona, Louisiana, Michigan, Mississippi, and Virginia). Three common themes emerged from these interviews:

  • the availability of financing for the non-federal share of Medicaid payments affects states’ use of base and supplemental payments;
  • Medicaid managed care payments to hospitals closely track those made under fee for service; and
  • state adoption of prospective payment systems and value-based payment models is slow.

Publication Type: Presentations

From: September 2018 MACPAC Public Meeting

Tags: disproportionate share hospital (DSH) payment, fee for service, financing, hospitals, managed care, payment, supplemental payments, Upper Payment Limit (UPL)