Between 42 and 100 percent of breast cancer patients treated at the participating hospitals were black or Hispanic and all institutions are designated as
Disproportionate Share Hospitals (CMS).
The federal
disproportionate share hospital program provides funding to hospitals to partially cover the costs of treating indigent patients.
The Medicaid
Disproportionate Share Hospital (DSH) program is a major funding source for safety-net hospitals and provides funding to support free and discounted care for uninsured and Medicaid patients.
8) For more information about the DSH program and the DSH provisions in the ACA, see, Corey Davis, Q&A:
Disproportionate Share Hospital Payments and the Medicaid Expansion, National Health Law Program, July 2012.
Over 2,500 hospitals receive
disproportionate share hospital (DSH) payments, estimated at $10.
Medicare and
disproportionate share hospital payments are expected to be reduced by $121.
Transplant hospitals will be hard-pressed by Medicare payment reductions and lowered
Disproportionate Share Hospital payments for uninsured care.
These supplemental payments are referred to as
disproportionate share hospital (DSH) payments.
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).
Although legally the program may not provide reimbursement for mental health patients over 21 or under 65 who receive treatment in psychiatric hospitals, states have gotten around this law by covering so-called optional mental health services provided in psychiatric hospitals and by using managed care contracts and
disproportionate share hospital funds to pay for mental health services for these patients, the report says.
