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Friday, February 1, 2013
Disproportionate share hospital (DSH) payments were established by the federal government to help offset the burden of uncompensated care provided by safety net hospitals, which serve a high number of Medicaid and low-income – often uninsured – individuals. DSH hospitals include public and private hospitals, children’s hospitals, university hospital systems, and long-term mental health care institutions.

DSH payments are made to eligible hospitals through two separate and distinct programs: the Medicaid DSH program (enacted by Congress in 1981) and Medicare DSH adjustment provisions (enacted by Congress in 1986). In fiscal year (FY) 2010, DSH payments . . .

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