Medicare program; definition of disproportionate share hospitals--HCFA. Notice
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Updated: Oct 22, 2026

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
Abstract:
This notice sets forth two definitions: Hospitals that serve a significantly disproportionate share of low income patients, and hospitals that serve a significantly disproportionate share of Medicare Part A beneficiaries. The notice addresses section 2315(h)(1) of the Deficit Reduction Act of 1984 (Pub. L. 98-369), which requires that the Secretary develop and publish a definition of these hospitals. It also meets the requirements of an order of the United States District Court for the District of Columbia in Samaritan Health Center, et al. v.
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