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Updated: Apr 17, 2026

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
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DSH payment under the ACA. Steps to receiving your fair share.

Robert F Gricius

    Healthcare Financial Management : Journal of the Healthcare Financial Management Association
    |February 5, 2015
    PubMed
    Summary

    Hospitals can maximize disproportionate share and uncompensated care (UC) payments by continuously managing Medicaid eligibility and using Worksheet S-10. This ensures proper financial support under the Affordable Care Act.

    Area of Science:

    • Healthcare finance
    • Health policy
    • Hospital administration

    Background:

    • Hospitals require specific payment levels for disproportionate share and uncompensated care (UC) under the Affordable Care Act.
    • Current methods may not fully capture eligible patient populations or accurately distribute funds.

    Purpose of the Study:

    • To outline actionable steps for hospitals to obtain appropriate disproportionate share and uncompensated care (UC) payments.
    • To guide healthcare providers in optimizing financial reimbursements under federal healthcare legislation.

    Main Methods:

    • Shift from episodic to continuous patient eligibility management for Medicaid.
    • Implement automated systems for tracking patient eligibility for government assistance programs.
    • Utilize Worksheet S-10 as the primary basis for UC payment distribution.

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    Main Results:

    • Continuous management enhances the capture of eligible Medicaid days.
    • Automated tracking improves accuracy in identifying patients eligible for various aid sources.
    • Standardized use of Worksheet S-10 ensures equitable UC payment distribution.

    Conclusions:

    • Hospitals can secure optimal funding by adopting proactive patient financial management strategies.
    • Streamlined processes for eligibility tracking and payment distribution are crucial for financial health.
    • Adherence to recommended practices maximizes benefits under the Affordable Care Act.