Dual-Eligible Patients Can Be Left Out Of DHS Payments: HHS

Law360, Washington (July 25, 2012, 6:07 PM EDT) -- The U.S. Department of Health and Human Services urged the Fifth Circuit on Monday to uphold a decision affirming its formula for doling out disproportionate share hospital payments to facilities serving low-income patients, saying the system follows Congress' intent.

Four Mississippi acute-care hospitals sued HHS and the Centers for Medicare and Medicaid Services. They claim the DSH payments received for fiscal years 2004 through 2006 were too low because HHS erroneously left out inpatient-care individuals eligible for state Medicaid and entitled to Medicare but not eligible...
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