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Medicaid: Federal Guidance Needed to Address Concerns about Distribution of Supplemental Payments
Medicaid: Federal Guidance Needed to Address Concerns about Distribution of Supplemental Payments
 

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By Katherine Iritani (au)
Year: 2016
Pages: 41
Binding Paperback
ISBN 978-1-4578-7302-7

Product Code: 1457873028

Description
 
In 2012, GAO reported that 505 hospitals received Medicaid payments that resulted in Medicaid payment surpluses -- that is, payments that exceeded the costs of providing services -- of about $2.7 billion. These surpluses were due in part to the lump-sum supplemental payments that hospitals received above their regular payments for individual services. States made them under broad Medicaid payment authorities that allow federal matching on payments up to an upper payment limit or under Medicaid demonstrations. These types of supplemental payments are authorized, but not required, by law. This report examined, for four selected states making large payments and 12 hospitals receiving them, (1) how these hospital used revenues from the payments; and (2) the basis on which the states distributed the payments. Tables and figure. This is a print on demand report.

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