Disproportionate Share Hospitals (DSH)

Information for and about hospitals serving large numbers of patients on public insurance programs such as MassHealth and Medicare. 
Governor Charlie Baker last Wednesday released a $42.7 billion FY2020 state budget proposal that among other things maintains level MassHealth provider reimbursement rates,
The American Hospital Association (AHA) last week laid out its 2019 public policy agenda.
In a letter to CMS last week, MHA urged the federal agency to reconsider rules regarding how Medicaid Managed Care Organizations (MCOs) direct payments to providers.
Using funding from recent settlements through its healthcare division, the Massachusetts Attorney General’s Office last week distributed $3 million in grants to organizations addressing social determinants of health.
As 2019 begins, here are a few key developments that should occur.
MHA is opposed to a proposed federal rule that will make harder for immigrants to access medical care.
Perhaps the largest and most complex healthcare merger in state history is all but final after Massachusetts Attorney General Maura Healey’s office ok'd the merger with conditions.
Lawrence General Hospital is operating a program to help its communities fight obesity and resultant health problems.
Care is fluid and ever-changing and should not be determined by a rigid number arrived at through popular vote. Vote NO on 1.
Health Care For All and Health Law Advocates on October 24 released a statement regarding Question 1.
The Pioneer Institute’s senior fellow on health care policy says Question 1 will adversely affect community hospitals outside of the Boston area.
The state’s HPC devoted part of its two-day cost trend hearing last week to the Question 1 ballot issue, adding new insight into the staffing mandate’s costs, and more.
A majority of stakeholders identified to the HPC that proposed mandatory nurse staffing ratios are a top area of concern.
The HPC’s $949 million upper cost estimate does not include the cost associated with emergency departments.
The American Hospital Association last week announced 340B drug program “good stewardship principles.”
AHA and other hospital interests filed suit in U.S. District Court to stop a nearly 30% reduction in Medicare payments to hospitals for purchase of outpatient drugs under the 340B program.
Approximately 30 hospitals a year across the U.S. are closing, according to a national study that is resonating in Massachusetts.
The state has released Massachusetts hospital financial performance data for all of 2017 and the picture is not at all rosy.
Last Thursday, Governor Charlie Baker signed the $41.7 billion FY19 state budget.
A conference committee will now attempt to resolve differences between the House bill and legislation from the Senate passed last year.

Resources

Click on the links below for easy access to important information related to state healthcare issues and advocacy.
Visit the Commonwealth of Massachusetts websites below to find information on legislative hearings and other meetings of interest to the healthcare community.
To guide your navigation of the legislative process and assist your advocacy efforts, please visit the following state websites:
MHA has also developed the following documents for your information and benefit: