The U.S. Supreme Court recently decided to uphold virtually all of the Affordable Care Act (ACA) as it was enacted. First and foremost, all Medicare-related provisions are left intact, so all payment cuts to providers that have already been implemented will remain
Under the Social Security Act , Medicaid Disproportionate Share Hospital (DSH) payments to hospitals cannot exceed the uncompensated cost of providing inpatient and outpatient hospital services to Medicaid-eligible and uninsured individuals. The 2008 DSH final rule required state reports and audits to ensure the appropriate use of DSH payments and compliance with the DSH limit imposed at Section 1923(g) of the Social Security Act .