Coughlin Teresa A, Zuckerman Stephen, McFeeters Joshua
Urban Institute, Washington, DC, USA.
Health Aff (Millwood). 2007 Sep-Oct;26(5):1469-80. doi: 10.1377/hlthaff.26.5.1469.
Using survey data, we examined Medicaid supplemental payments (SPs), including disproportionate-share hospital (DSH) and upper payment limit (UPL) payments in 2005 and changes in these payments between 2001 and 2005. We found that states increased their use of general funds in financing of DSH payments while expanding the size and scope of other SPs considerably. Although the federal government has made some headway in reforming state Medicaid financing, our findings suggest that more work remains.
利用调查数据，我们研究了2005年医疗补助补充支付（SPs），包括高比例分担医院（DSH）支付和最高支付限额（UPL）支付，以及2001年至2005年期间这些支付的变化。我们发现，各州在为DSH支付融资时增加了一般资金的使用，同时大幅扩大了其他补充支付的规模和范围。尽管联邦政府在改革州医疗补助融资方面取得了一些进展，但我们的研究结果表明仍有更多工作要做。
