19, which sets forth the data elements necessary to comply with the requirements of Section 1923 (j) of the Social Security Act (Act) related to auditing and reporting disproportionate share hospital payments
under State Medicaid programs.
A small percentage of this amount is covered by philanthropy and disproportionate share hospital payments
(payments intended to offset losses hospitals incur when large shares of their patients are unable to pay their hospital bills).
Pope and Kautter standardized costs across the practices by assigning claims adjusted for risk, using the hierarchical conditions categories model, teaching and disproportionate share hospital payments
. Finally, they present a composite quality score with their claims-based measures.
Two areas targeted to achieve these cuts are graduate medical education and disproportionate share hospital payments
to Medicare HMOs, which would be removed from the Medicare payments to HMOs under the Administration's proposal.
Currently, GME and Disproportionate Share Hospital payments
(DSH) -- payments made to hospitals that serve a disproportionate share of low-income persons -- are routed to both the FFS and HMO components of Medicare.
Statement on Teaching Hospitals and Medicare Disproportionate Share Hospital Payments
. Presented to the Committee on Ways and Means, Subcommittee on Health, U.S.