Skip to Main Content
Don't have an account? Create Account

Medicare DSH: What is in the Proposed Rule

Date: Thursday, May 23, 2013

Time: 8:00 AM ET

The Affordable Care Act (ACA) mandates that hospitals that currently receive Medicare disproportionate share hospital (DSH) payments will continue to receive 25 percent of their estimated Medicare DSH payments according to the current methodology, and will receive a separate DSH payment based on the hospital’s relative uncompensated care costs. The amount of funds available for the separate payment will come from the remaining 75 percent of what DSH hospitals would have received under current methodology, but will decrease based on the anticipated estimated decline in the national uninsurance rate.

In the April 2013 inpatient prospective payment system proposed rule from the Centers for Medicare & Medicaid Services (CMS), which includes provisions implementing Medicare DSH cuts, CMS proposes to use Medicaid and low-income Medicare inpatient days as a proxy for hospital uncompensated care. The total of each hospital’s Medicaid and low-income Medicare inpatient days would be used to determine each hospital’s share of Medicare DSH payments linked to uncompensated care. Members joined speakers from America’s Essential Hospitals as they discussed the content of the rule and outline the implications for member hospitals.


Beth Feldpush, DrPH
Senior Vice President for Advocacy and Policy
America’s Essential Hospitals

Xiaoyi Huang, JD
Assistant Vice President for Policy
America’s Essential Hospitals

Barbara Eyman, JD
General Counsel
America’s Essential Hospitals

Sarah Mutinsky, JD
Deputy General Counsel
America’s Essential Hospitals

Previous Next
Test Caption
Test Description goes like this