By NextBestFitMedicaid & Medicare DSH and supplemental payments
replacedYear 4Provider payment & regulation
Today
Billions in disproportionate-share and supplemental payments compensate hospitals for uninsured and Medicaid patients.
Under the plan
End; the need disappears and the money is built into global budgets (safety-net adjustment).
Trade-off
Simpler, but safety-net hospitals depend on budget-setting getting their adjustment right.