Description

Book Synopsis
Medicaid is an important source of health coverage for millions of low-income individuals. Research on Medicaid has demonstrated that a small percentage of beneficiaries account for a disproportionately large share of Medicaid expenditures. Understanding states'' expenditures for high-expenditure populations -- both those dually eligible for Medicare and Medicaid, and those who are Medicaid-only -- could enhance efforts to manage Medicaid expenditures. This book examines high-expenditure Medicaid-only beneficiaries, considering states'' spending on them compared with all other Medicaid beneficiaries; their key characteristics; and their service usage compared with all other Medicaid-only beneficiaries. This book also provides an overview of Medicaid disproportionate share hospital (DSH). It includes a description of the rules delineating how state DSH allotments are calculated and the exceptions to the rules, how DSH hospitals are defined, and how DSH payments are calculated.

Disproportionate Medicaid Expenditures: Select

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    A Paperback / softback by Cassie Pavesi

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      Publisher: Nova Science Publishers Inc
      Publication Date: 05/08/2014
      ISBN13: 9781633211186, 978-1633211186
      ISBN10: 1633211185
      Also in:
      Medicolegal issues

      Description

      Book Synopsis
      Medicaid is an important source of health coverage for millions of low-income individuals. Research on Medicaid has demonstrated that a small percentage of beneficiaries account for a disproportionately large share of Medicaid expenditures. Understanding states'' expenditures for high-expenditure populations -- both those dually eligible for Medicare and Medicaid, and those who are Medicaid-only -- could enhance efforts to manage Medicaid expenditures. This book examines high-expenditure Medicaid-only beneficiaries, considering states'' spending on them compared with all other Medicaid beneficiaries; their key characteristics; and their service usage compared with all other Medicaid-only beneficiaries. This book also provides an overview of Medicaid disproportionate share hospital (DSH). It includes a description of the rules delineating how state DSH allotments are calculated and the exceptions to the rules, how DSH hospitals are defined, and how DSH payments are calculated.

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