Did budget cuts in Medicaid disproportionate share hospital payment affect hospital quality of care?

ABSTRACT:

Background

Medicaid Disproportionate Share Hospital (DSH) payments are one of the major sources of financial support for hospitals providing care to low-income patients. However, Medicaid DSH payments will be redirected from hospitals to subsidize individual health insurance purchase through US national health reform.

Objectives

The purpose of this study is to examine the association between Medicaid DSH payment reductions and nursing-sensitive and birth-related quality of care among Medicaid/uninsured and privately insured patients.

Methods

Economic theory of hospital behavior was used as a conceptual framework, and longitudinal data for California hospitals from 1996 to 2003 were examined. Hospital-fixed effects regression models were estimated. The unit of analysis

SUBMITTER: Hsieh HM 

PROVIDER: S-EPMC4000740 | biostudies-literature | 2014 May

REPOSITORIES: biostudies-literature