title: For Disproportionate-Share Hospitals, Taxes And Fees Curtail Medicaid Payments.
abstract: After accounting for supplemental payments, we found that in 2011, disproportionate-share hospitals, on average, received gross Medicaid payments that totaled 108 percent of their costs for treating Medicaid patients but only 89 percent of their costs for Medicaid and uninsured patients combined. However, these payments were reduced by approximately 4-11 percent after we accounted for provider taxes and local government contributions that are used to help finance Medicaid payments.
authors.affiliation: Robert Nelb (robert.nelb@macpac.gov) is a senior analyst at the Medicaid and CHIP Payment and Access Commission, in Washington, D.C.
authors.forename: Robert
authors.initials: R
authors.lastname: Nelb
authors.affiliation: James Teisl is an associate director at the Berkeley Research Group, LLC, in Washington.
authors.forename: James
authors.initials: J
authors.lastname: Teisl
authors.affiliation: Allen Dobson is president of Dobson DaVanzo Consulting, in Vienna, Virginia.
authors.forename: Allen
authors.initials: A
authors.lastname: Dobson
authors.affiliation: Joan E. DaVanzo is CEO of Dobson DaVanzo & Associates, LLC, in Vienna.
authors.forename: Joan E
authors.initials: JE
authors.lastname: DaVanzo
authors.affiliation: Lane Koenig is president of KNG Health Consulting, in Rockville, Maryland.
authors.forename: Lane
authors.initials: L
authors.lastname: Koenig
mesh_terms: D005249:Fees and Charges; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006761:Hospitals; D006801:Humans; D008484:Medicaid / Q000706:statistics & numerical data*; D017057:Medically Uninsured; D013221:State Health Plans / Q000706:statistics & numerical data; D013660:Taxes; D014481:United States
keywords: Financing Health Care; Health Spending; Hospitals; Medicaid; Safety-Net Systems