Specifically, the finalized IPPS policy results in a cut of $957 million to DSH hospitals, which care for large numbers of underserved and historically marginalized populations. Specifically, we ask CMS to maintain the uninsured rate at FY 2023 level (9.2%) in its FY 2024 DSH calculations to provide stability for these hospitals. This was a result of projecting an uninsured rate of 9.2% for FY 2024, which is used as a factor to determine the pool of uncompensated care payments to be distributed. We continue to have concerns over the uninsured rate used to determine FY 2024 DSH payments. For this reason, it is implausible for us to understand OACT’s forecast of a decrease in the uninsured rate for next year during the Medicaid redetermination process.

Source: Washington Post August 09, 2023 15:00 UTC