The Medicaid disproportionate-share hospital (DSH) program has been the subject of considerable policy debate throughout the 1990s, prompting Congress to revise the program three times since 1991. The report uses Medicaid administrative data and information obtained from twelve states to examine how the study states dealt with the DSH reforms. The research found a variety of state responses, ranging from not spending their full DSH allotments to seeking new, DSH-like federal money to help support safety-net providers. (Health Affairs 1998 May/June; 17(3):118-136).
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