Billing Beat

Appeals Court Reinstates Changes to Medicaid DSH Payments Formula

September 9, 2019

A federal appeals court ruled in a favor of a 2017 rule that included third-party payments when calculating hospital-specific caps on Medicaid DSH payments. 

Hospitals that treat a large proportion of low-income and uninsured patients could face lower Medicaid disproportionate share hospital (DSH) payments following a recent appeals court decision.

Source: https://www.fiercehealthcare.com/payer/urban-institute-uninsured-rate-ticked-up-2017-largely-nonexpansion-states

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