D.C. Court of Appeals Permits Hospitals to Include Inpatient Section 1115 Days in the Medicaid Fraction of the Medicare Disproportionate Share Hospital Calculation
By EsqSocial Corporation 18/01/21
The United States Court of Appeals for the District of Columbia recently ruled that a hospital's Medicaid eligible days in its Medicare disproportionate share hospital (DSH) calculation should include patients who receive inpatient care through a Section 1115 demonstration project. Bethesda Health, Inc. v. Azar, No. 19-5260 (D.C. Cir. 11/13/20), aff'g, 389 F.Supp.3d 32 (D.D.C. 2019). This ruling settles the issue nationally for hospitals since all hospitals can take their DSH appeals to this...
By: Baker Ober Health Law