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:
Haha, I bet the people who wrote this question were just trying to trick us. 'Disproportionate share' - that's gotta be the most confusing term in healthcare policy, right?
Hmm, I'm not sure about the capitation payment thing. Isn't the whole idea of a DSH that they get direct payments from Medicaid to help cover the cost of indigent care? The capitation thing sounds more like a managed care arrangement.
As a DSH, Preamble is definitely at a higher risk of operating at a loss. That's the whole point of the Medicaid DSH program - to support hospitals that serve a disproportionate number of low-income patients.
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