Impact of Affordable Care Act on Medicare Disproportionate Share Hospital (DSH) Payments

Haider M. R. , Siddiqi K. A. , Demir İ. , Khan M. M.

Value In Health, vol.21, no.1, pp.140-141, 2018 (Journal Indexed in SSCI)

  • Publication Type: Article / Abstract
  • Volume: 21 Issue: 1
  • Publication Date: 2018
  • Doi Number: 10.1016/j.jval.2018.04.950
  • Title of Journal : Value In Health
  • Page Numbers: pp.140-141


Disproportionate Share Hospital (DSH) payments historically acted as a source for the unpaid expenditure borne by the hospitals for the uninsured and underinsured patients. Under the auspices of Patient Protection and Affordable Care Act (ACA), it is projected by Center for Medicare and Medicaid Services (CMS) that with decrease in the number of uninsured under ACA, DSH payments will also decrease. This study investigates the extent of the Medicare DHS payment reduction in relation with facility level factors affect that reduction in the wake of ACA.