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NAUH Questions Pending Medicare DSH Cuts

NAUH LogoIn a new study, the National Association of Urban Hospitals (NAUH) has questioned the extent of the cuts in Medicare disproportionate share (Medicare DSH) payments mandated by the Affordable Care Act.

In the study, NAUH cites four reasons why the anticipated cuts in Medicare DSH payments, which are made to selected hospitals that care for especially large numbers of low-income patients, may be too large.

  1. having more Medicaid recipients will increase hospitals’ Medicaid shortfalls
  2. the Supreme Court decision on the reform law’s mandate that states expand Medicaid coverage will mean fewer Medicaid recipients than anticipated but more people remaining uninsured
  3. the Supreme Court decision means that the original projection of 23 million people remaining uninsured after reform is completely implemented is now probably too conservative a figure
  4. many of the low-income seniors urban safety-net hospitals serve in especially large numbers will be unable to pay their Medicare co-pays and deductibles

Read more about why NAUH believes the upcoming Medicare DSH cuts are too large in “The Potential Impact of the Affordable Care Act on Urban Safety-Net Hospitals,” which you can find here.

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