Medicaid: The Texas Disproportionate Share Program Favors Public Hospitals |
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1992 Texas Medicaid additional indigent days allowable inpatient costs charity care days County Hospital District County State Fiscal Dispro I formula Dispro I funds Dispro I payments Dispro I program Dispro III Dispro disproportionate share days disproportionate share funds disproportionate share hospitals disproportionate share payment disproportionate share program disproportionate share status DRG hospitals DSH I Data dual eligible days El Paso Fiscal Year 1992 gross inpatient charges Gross Inpatient Revenue HCFA hospital's Medicaid hospitals received indigent volume inpatient utilization rate Lavaca Louisiana low-income patients low-income utilization rate Maverick County Medicaid and Medicare/Medicaid Medicaid days Medicaid Disproportionate Share Medicaid inpatient utilization Medicaid program Medical Center Medicare/Medicaid dual eligible Michigan Patient Census Days Payment Adjustment Formula payment formulas percentage psychiatric hospitals qualify for disproportionate qualifying hospitals received Dispro reported to TDHS standard deviation Texas Department Texas formula Texas Medicaid Disproportionate Texas Medicaid DSH Three Hospital Districts type of hospital uncompensated uncompensated care
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Page 3 - Established in 1965 as title XIX of the Social Security Act, Medicaid is a federally aided, state-administered medical assistance program that served about 30 million low-income people in fiscal year 1992, with combined federal and state expenditures estimated at $119 billion.
Page 3 - At the federal level, the program is administered by the Health Care Financing Administration (HCFA), which is part of the Department of Health and Human Services.
Page 3 - In addition, 155 or 37 percent 7Under federal criteria a hospital is deemed a disproportionate share hospital if (1) the hospital's Medicaid inpatient utilization rate is at least one standard deviation above the mean Medicaid inpatient utilization rate...
Page 12 - We discussed a draft of this report with HCFA officials in the Medicaid Bureau and the Office of Research and Demonstrations. They generally agreed with the information presented. We have incorporated their comments where appropriate. We are sending copies of this report to the Secretary of Health and Human Services, the Administrator of the Health Care Financing Administration...
Page 28 - State could establish a minimum specified additional payment amount (or specified percentage) and increase that amount (or percentage) in proportion to the percentage by which the hospital's Medicaid utilization rate exceeds 15 percent. The Tennessee approach offers an example of what the Committee intends for an alternative payment adjustment. In Tennessee, disproportionate share hospitals are defined by volume. For every 1,000 Medicaid days over 4,000 Medicaid patient days, hospitals receive a...
Page 28 - States may use an alternative formula as long as it applies equally to all hospitals of each type and...
Page 2 - I formula favors public hospitals that receive a relatively large amount of state and local revenue. The formula...
Page 1 - Act of 1987 gives states minimum criteria and formulas for identifying hospitals that qualify for...