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Thursdays at Three: Medicare DSH Payments & Uncompensated Care

September 11, 2025

This New York-focused presentation delves into the intricacies of Medicare disproportionate share hospital (DSH) payments and the impact of uncompensated care on healthcare facilities. Gain an in-depth understanding of how DSH payments are calculated and distributed to hospitals serving a high volume of low-income patients. The session will also explore the financial burden of uncompensated care, including charity care and bad debt, and effective strategies for reporting these costs accurately.

Learning Objectives

Upon completion of this program, participants will be able to:

  • Recognize the fundamentals of Medicare DSH payments and the impact of the public health emergency termination on Medicaid enrollment.
  • Recall uncompensated care definitions and audit preparedness strategies.
  • Discuss policy and litigation updates related to Medicare DSH and Supplemental Security Income ratios.

Presenter(s)

Michael Thomas, Austin Perkins

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