Reforming the Medicaid disproportionate share hospital program

Since 1991, three Federal laws have sought to reform the Medicaid disproportionate share hospital (DSH) program, which is designed to help safety net hospitals. This article provides findings from a 40-State survey about Medicaid DSH and supplemental payment programs in 1997. Results indicate that t...

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Bibliographic Details
Published in:Health care financing review 2000, Vol.22 (2), p.137-157
Main Authors: Coughlin, T A, Ku, L, Kim, J
Format: Article
Language:English
Subjects:
Analysis
Budgets
Data Collection
Economic aspects
Economics, Hospital - statistics & numerical data
Expenditures
Federal aid to hospitals
Government spending
Health administration
Health care expenditures
Health Care Reform
Health services administration
Health Services Research
Hospitals
Hospitals, Public - classification
Hospitals, Public - economics
Hospitals, Voluntary - economics
Humans
Indigent care
Intergovernmental relations
Laws, regulations and rules
Low income groups
Medicaid
Medicaid - legislation & jurisprudence
Medicaid - statistics & numerical data
Medical policy
Organizational Case Studies
Polls & surveys
Reimbursement, Disproportionate Share - statistics & numerical data
State Health Plans - economics
States
Statistical analysis
Studies
Taxes
Uninsured people
United States
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Description
Summary:Since 1991, three Federal laws have sought to reform the Medicaid disproportionate share hospital (DSH) program, which is designed to help safety net hospitals. This article provides findings from a 40-State survey about Medicaid DSH and supplemental payment programs in 1997. Results indicate that the overall size of the DSH program did not grow from 1993 to 1997, but the composition of DSH revenues and expenditures changed substantially: A much higher share of the DSH funds were being paid to local hospitals and relatively less was being retained by the States. The study also revealed that large differences in States' use of DSH still persist.
ISSN:0195-8631
1554-9887