The Medicaid program subsidizes indigent care through payments to disproportionate share hospitals (DSHs). The Preamble Hospital is a DSH. As a DSH, Preamble most likely:
C seems like the most logical answer. DSHs don't typically receive direct Medicaid payments, but rather a portion of the capitation paid to their contracted health plans.
I'd go with D. As a DSH, Preamble should be eligible for higher capitation rates to help offset the increased costs of caring for the indigent population.
Option B sounds about right. DSHs are typically at a higher risk of operating at a loss due to the high volume of uninsured and underinsured patients they serve.
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