Paying for the uninsured: Safety net hospitals in peril

STATELINE INFOGRAPHIC Paying for the uninsured How are safety net hospitals funded? Sources of funding for unreimbursed health care in states Federal, state and local Safety net hospitals, also called "disproportionate share hospitals," or Medicaid DSH payments (exluding DSH) 24% DSH, make up a small number of the 30% nation's acute care hospitals, but 5% Medicare DSH provide much of the uncompensated care. To cover their costs, safety net hospitals knit together a variety of public and private funds. 25% 16% Other funding Medicare and Medicaid supplemental payments sources Where does federal money go? States that receive the most federal dollars for their uninsured residents How many DSH dollars each state receives (per resident) $0 $20 $40 $60 $80 $100 $120 $140 $160 LA NH DC NY ME NEW HAMPSHIRE MO Gov. John Lynch (D) has not commented on the Medicaid expansion. 10% of the state population is uninsured. NJ SC LOUISIANA AL Gov. Bobby Jindal (R) has said "No" to RI $165M CT expanding Medicaid. 17% of the state MI Total DSH allotment TN population is uninsured. $126 $769M Total DSH allotment PA DSH dollars per resident TX $1,248 DSH dollars received $169 DSH dollars per resident WV TEXAS VT per uninsured resident ОН Gov. Rick Perry (R) has said "No" to expanding 11% $979 KY Medicaid. 25% of the state DSH dollars received per uninsured resident IN DSH share of Medicaid budget NC population is uninsured. 11% CA $988M AK DSH share of Medicaid budget GA Total DSH allotment WA $39 MI Historically, federal money hasn't neccessarily gone to where most uninsured people live. CO DSH dollars per resident NV $156 IL DSH dollars received per uninsured resident WI AZ 3% NE DSH share of Medicaid budget AR KS MN ND FLORIDA SD Gov. Rick Scott (R) has said "No" to expanding Medicaid. 21% of the state WYOMING MD IA Gov. Matt Mead (R) has expressed concerns about expanding Medicaid, but remains undecided. 16% of the state population is uninsured. OR MT population is uninsured. VA $207M FL Total DSH allotment $234K ID DE $11 Total DSH allotment NM DSH dollars per resident $0.41 DSH dollars per resident OK $51 HI UT DSH dollars received per uninsured resident $2.52 WY 1% DSH dollars received per uninsured resident DSH share of Medicaid budget 0.04% DSH share of Medicaid budget Note: All data rely on 2010 sources. Numbers are rounded, except for Wyoming. Sources: National Association of Public Hospitals and Health Systems 2010 survey "America's Safety Net Hospitals and Health Systems" U.S. Census Bureau and The Kaiser Family Foundation Stateline infographic by: Carla Uriona, Adam Rotmil, Christine Vestal and Ben Wieder updated August 3, 2012