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For Disproportionate-Share Hospitals, Taxes And Fees Curtail Medicaid Payments
Robert Nelb1, James Teisl2, Allen Dobson3
1Robert Nelb (robert.nelb@macpac.gov) is a senior analyst at the Medicaid and CHIP Payment and Access Commission, in Washington, D.C.
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.
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