A major component of the Affordable Care Act (ACA) was a mandated expansion of Medicaid. The law also prescribed cuts to Medicaid Disproportionate Share Hospital (DSH) payments, which subsidize hospitals with high levels of uncompensated care. For states that have opted out of Medicaid expansion, Medicaid reimbursements will not make up for lost DSH payments. However, DSH cuts may also create additional financial challenges for these hospitals in opt-in states if Medicaid expansion does not reduce overall uncompensated care.
In his keynote presentation, Mitchell Katz talks about the challenges of providing health care to poor and uninsured populations, and the changes required of county hospitals by the Affordable Care Act.
Katz is the director of Los Angeles County Department of Health Services, which serves more than ten million residents, about one million of whom have no medical insurance.
In this presentation, Peter Cunningham discusses his research on how the Affordable Care Act might affect how safety net hospitals that primarily serve poor populations care for their patients. Cunningham is a Senior Fellow and Director of Quantitative Research at the Center for Studying Health System Change.
In this presentation, Ian Hill discusses how health care providers will meet the new need created by the Affordable Care Act, and how states are planning to cope with the higher demand for care. Hill is a research fellow with the Urban Institute.
In this panel discussion, moderator Joy Melnikow and panelists Ron Chapman, Neal Kohatsu, Robin Affrime and Kris Srinivasan consider how academic research might contribute to successful implementation of the Affordable Care Act.
In this April 2013 seminar, Visiting Scholar Janet Shim discusses her ongoing sociological examination of epidemiology, specifically how epidemiologists conceptualize and use race, socioeconomic status, and sex/gender in their work, and how lay people think about the effects of such social differences on their health.