Medicaid disproportionate share hospital (DSH) payments help to pay for Medicaid shortfall—the difference between a hospital’s cost of care for Medicaid-eligible patients and payment the hospital receives for these services. In March 2018, a federal district court decision vacated guidance from the Centers for Medicare & Medicaid Services (CMS) about how shortfall should be calculated … Continue reading Treatment of Third-Party Payments in the Definition of Medicaid Shortfall