title: CMS's proposed rule implementing the ACA-mandated Medicaid DSH reductions.
abstract: State Medicaid programs make Medicaid disproportionate share hospital (DSH) payments to hospitals to help offset costs of uncompensated care for Medicaid and uninsured patients. Unlike most Medicaid spending, annual DSH allotments for each state are capped. Under the Patient Protection and Affordable Care Act of 2010 (ACA), DSH payments will decrease starting in fiscal year (FY) 2014 and continuing through FY 2020. This paper describes the proposed rule for reducing these federal allotments, which was released on May 15, 2013, by the Centers for Medicare & Medicaid Services (CMS). Comments on the proposed rule are due July 12, 2013.
authors.affiliation: National Health Policy Forum, Washington, D.C., USA.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Linehan
mesh_terms: D002017:Budgets; D014487:Centers for Medicare and Medicaid Services, U.S.; D004469:Economics, Hospital / Q000331:legislation & jurisprudence*; D005544:Forecasting; D005102:Health Expenditures; D006801:Humans; D008484:Medicaid / Q000191:economics* / Q000331:legislation & jurisprudence; D058991:Patient Protection and Affordable Care Act / Q000191:economics*; D020444:Reimbursement, Disproportionate Share / Q000191:economics* / Q000331:legislation & jurisprudence / Q000639:trends; D013219:State Government; D017664:Uncompensated Care / Q000191:economics / Q000331:legislation & jurisprudence; D014481:United States