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Implementation of Section 3133 of the Affordable Care Act: Improvement to Medicare Disproportionate Share Hospital Payments National Provider Call
Disproportionate Share Hospital Payments


This presentation reviews the Medicare Disproportionate Share Hospital (DSH) payment methodology under Section 3133 of the Affordable Care Act, which is effective in fiscal year 2014. CMS commissioned Dobson DaVanzo & Associates, LLC and KNG Health Consulting, LLC to provide technical assistance. They present findings of their analyses identifying possible data sources and definitions for measuring the change in uninsured and uncompensated care. Participants have an opportunity to provide comments.

When: Tuesday, January 8, 2013

Time: 1:30 PM - 3:30 PM Eastern Time

Target Audience: All Medicare Fee-For-Service Providers


  • Review of Section 3133
  • Analytic Methods
  • Uninsured Definitions and Data Sources
  • Uncompensated Care Definitions and Data Sources
  • Conclusions
  • Next Steps
  • Discussion: Public Comments


Al Dobson, Ph.D., Dobson DaVanzo & Associates, LLC
Lane Koenig, Ph.D., KNG Health Consulting, LLC

Call Materials:


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