Medicaid Supplemental Payments: Where Do They Fit in Payment Reform?

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Currently, Medicaid payment reform initiatives have largely neglected to address supplemental payments. Disproportionate Share Hospital (DSH) Payments and Upper Payment Limit (UPL) payments represent more than one-third of Medicaid fee-for-service payments to hospitals, and hospital payments constitute 23 percent of all Medicaid spending.

According to the CHCS brief, prepared by Manatt Health Solutions, supplemental payments are a critical source of revenue to hospitals, especially safety-net hospitals. This policy brief examines the need to align supplemental payment arrangements with broader payment reform objectives to ensure that beneficiaries have access to quality, cost-effective care.

Read the report here.

Resource Details

Date: Aug 2011
Author: Deborah Bachrach and Melinda Dutton