title: Restoring fiscal integrity to medicaid financing?
abstract: Using survey data, we examined Medicaid supplemental payments (SPs), including disproportionate-share hospital (DSH) and upper payment limit (UPL) payments in 2005 and changes in these payments between 2001 and 2005. We found that states increased their use of general funds in financing of DSH payments while expanding the size and scope of other SPs considerably. Although the federal government has made some headway in reforming state Medicaid financing, our findings suggest that more work remains.
authors.affiliation: Urban Institute, Washington, DC, USA. tcoughli@ui.urban.org
authors.forename: Teresa A
authors.initials: TA
authors.lastname: Coughlin
authors.forename: Stephen
authors.initials: S
authors.lastname: Zuckerman
authors.forename: Joshua
authors.initials: J
authors.lastname: McFeeters
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S.; D006801:Humans; D008484:Medicaid / Q000191:economics / Q000331:legislation & jurisprudence*; D008489:Medical Indigency; D011203:Poverty; D011907:Rate Setting and Review / Q000331:legislation & jurisprudence*; D020444:Reimbursement, Disproportionate Share; D013221:State Health Plans / Q000191:economics / Q000331:legislation & jurisprudence; D014481:United States