National Health Policy Forum

Background Paper

Date: SEPTEMBER 14, 2004
Title:
Medicaid's Disproportionate Share Hospital
Program: Complex Structure, Critical
Payments
PDF Doc.
Author: Robert E. Mechanic, Consultant
Summary: This background paper describes the history and political evolution of Medicaid’s disproportionate share hospital (DSH) program and examines DSH as it exists today. It highlights the importance of DSH payments for the viability of safety net hospitals and considers the consequences of states’ creative financing strategies for maximizing federal Medicaid matching funds. Finally, this paper reviews several options for improving the structure and effectiveness of the DSH program.
Related
Materials:
See also "Medicaid Disproportionate Share Hospital (DSH) Payments" (The Basics, June 15, 2009) and "Medicaid Financing" (The Basics, February 4, 2011).