Disproportionate Share Hospitals (DSH)

Information for and about hospitals serving large numbers of patients on public insurance programs such as MassHealth and Medicare. 
The Boston-based Institute for Healthcare Improvement has a new initiative called Pursuing Equity Learning & Action Network, and is looking to partner with health system teams to fulfill the initiative’s goals.
President Trump released his proposed FY21 budget last year and it is remarkable for the ferocity with which it attacks Medicare and Medicaid.
Approximately 350 people attended MHA’s Mid-Winter Leadership Forum last Friday – the 53rd such gathering in MHA’s 84-year history.
Hospitals and other advocates are urging the U.S. House Energy & Commerce Committee to move forward on a social determinants of health bill.
Governor Charlie Baker submitted to the legislature a $74.2 million supplemental budget for the current state fiscal year 2020.
The $1.4 trillion spending deal that the House and Senate approved and that the president was expected to sign last Friday delays scheduled cuts to disproportionate share hospitals through May 22, 2020.
The Executive Office of Health & Human Services has released proposed regulations that would give MassHealth the authority to designate and exclude from MassHealth coverage high-cost drugs that are purchased under the 340B program.
The Executive Office of Health & Human Services has issued draft regulations governing pharmacy services delivered to MassHealth patients.
The U.S. House Ways and Means Committee has announced a request for information on ways to improve healthcare for underserved communities.
Governor Charlie Baker last Friday introduced the latest legislative proposal to reform the state’s healthcare system.
The state has released the 2020 RFA – the main contract between the MassHealth program and acute care hospitals serving Medicaid patients.
The Massachusetts Health Policy Commission is holding its 2019 Health Care Cost Trends Hearing on Tuesday and Wednesday, October 22 and 23.
Cambridge Health Alliance undertook an Agency for Healthcare Research & Quality-sponsored 15-month safety improvement program to reduce infections in the ICU at its Cambridge and Everett hospitals.
MassHealth has extended the acute hospital 2019 RFA one additional month through October 31, 2019.
The Executive Office of Health and Human Services (EOHHS) has issued proposed changes to the two regulations governing Health Safety Net (HSN) eligibility and payments.
Last Wednesday, Governor Charlie Baker signed a $43.3 billion FY2020 state budget, and did not issue a single spending veto.
Last year’s FY2019 state budget provided for the transfer of up to $15 million in state funding to the Health Safety Net. This month, the Baker Administration fulfilled that transfer.
The U.S. House Energy and Commerce Committee last Wednesday passed H.R. 2328, which includes “surprise billing” language of concern.
Twelve hospitals in Boston and Cambridge have signed a commitment to provide mandatory substance use disorder training to all of their hospital-based physicians and residents in key departments.
The United States Supreme Court in a 7-1 decision last week determined that the U.S. Department of Health and Human Services (HHS) violated the law in 2014 when it changed a formula used to set Medicare reimbursements to disproportionate share hospit

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: