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Statement on MACPAC Report to Congress on DSH Payments


Statement attributable to:
Bruce Siegel, MD, MPH
President and CEO
America’s Essential Hospitals

WASHINGTON, DC – America’s Essential Hospitals thanks the Medicaid and CHIP Payment and Access Commission (MACPAC) for its thoughtful and sobering analysis of disproportionate share hospital (DSH) funding.

As we approach a fiscal cliff for federal support of essential hospitals, these findings provide timely information policymakers need to avoid the damage DSH cuts will inflict on millions of uninsured and other vulnerable patients, as well as the hospitals on which they depend.

We strongly agree with the commission’s conclusion that DSH allotments and payments should be better targeted at states and hospitals that serve a disproportionate share of Medicaid beneficiaries and low-income patients, and that have higher levels of uncompensated care. As MACPAC notes, this is what Congress intended.

We look forward to the commission’s continued work and the U.S. Department of Health and Human Services’ response to the MACPAC recommendations. With the important information the MACPAC report provides, policymakers can ensure DSH funds do the most good for the greatest number of patients.

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About America’s Essential Hospitals

America’s Essential Hospitals is the leading association and champion for hospitals and health systems dedicated to high-quality care for all, including the most vulnerable. Since 1981, America’s Essential Hospitals has initiated, advanced, and preserved programs and policies that help these hospitals ensure access to care. We support members with advocacy, policy development, research, and education.

Our roughly 275 members are vital to their communities, providing primary care through trauma care, disaster response, health professional training, research, public health programs, and other services. They innovate and adapt to lead the broader health care community toward more effective and efficient care.

Carl Graziano


About the Author

Graziano is senior director of communications for America's Essential Hospitals.

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