For many years, the hospital corporation received about $330 million annually in disproportionate share payments, Mr. Aviles said, but in each of the last two years the agency received an additional $300 million to help it care for the steep increase in uninsured patients.
With few fully insured patients, Louisiana's charity hospitals are heavily reliant on "disproportionate share hospital" payments, which are allocated to hospitals that treat a large indigent population.
But this will reduce the hospitals income from emergency service (e.g., through Medicare Disproportionate Share (DSH) payments and other reclaiming programs).
Comparing the prevalence data from Table 2 to the average per beneficiary payment data from Table 3, it is apparent that a disproportionate share of Medicare payments is spent treating beneficiaries with chronic conditions.
"The threat of disproportionate reductions in their payments vis a vis their immediate competitors is making them angry and frustrated with this government".
Traditionally, safety net hospitals have been supported though public funds, such as disproportionate-share hospital (DSH) payments.
Welfare reductions, in particular, will hit hardest those groups most dependent on welfare payments, so some disproportionate impact is unsurprising.
distributing provider-specific special payments (e.g., disproportionate share and graduate medical education payments) across all hospitals.
"The truth is every payment instrument adds a disproportionate cost onto the poor," said Bhaskar Chakravorti, senior associate dean for international business and finance at Tufts Fletcher Schooll and co-author of the study.
Our study provides evidence of unintended outcomes from land use policies, including Payment for Ecosystem Services, with disproportionate negative impacts on non-landowning residents who depend on natural resources in the landscape for their livelihoods.
