A Disproportionate Share: The Future of Safety Net Hospitals & Payment Policies

Health Affairs This Week is off for a few weeks. We will return
for a special episode in December before returning to our regular
schedule in January 2025.


For the next few weeks, we present the three-part A
Disproportionate Share, a podcast from NYC Health + Hospitals's
Michael Shen, a primary care doctor and Chief Creative Officer
for the medical education podcast Core IM, as part of the Health
Affairs Pathways show that we published in 2023. We encourage
listeners to check out the other series from that podcast.


Unique series were created by fellows at the Health Affairs
Podcast Fellowship Program, designed to support early to
mid-stage professionals pursue an audio project and tell a unique
health care story.


In A Disproportionate Share, NYC Health + Hospitals's Michael
Shen, a primary care doctor and Chief Creative Officer for the
medical education podcast Core IM, explores the role of safety
net hospitals in caring for America's vulnerable populations.


In the final episode, Shen discusses why supplemental payments
for safety net hospitals might be at risk and look at policy
approach that could bolster the safety net. He interviews
individuals from NYC Health + Hospitals, America's Essential
Hospitals, and University of Pennsylvania.


Related Links:


Michael Shen

Disproportionate Share Hospital (Centers for Medicare &
Medicaid Services)

Variation and Changes in the Targeting of Medicaid
Disproportionate Share Hospital Payments (Health Affairs)

Annual Analysis of Disproportionate Share Hospital Allotment
to States - 2022 (MACPAC)

For Disproportionate-Share Hospitals, Taxes and Fees Curtail
Medicaid Payments (Health Affairs)