Analysis of the Joint Distribution of Disproportionate Share Hospital Payments. Hospital Variables


In this section, we provide an overview of the hospital variables that we constructed to support our analyses. The focus of our attention was on acute care community safety net hospitals that are financially vulnerable. Therefore, we built a detailed data set for all community hospitals (other than Maryland where an all-payer system applies), including children's and cancer hospitals. While we included other specialty hospitals and institutions for mental disease in our database to the extent they receive Medicaid DSH funds, the data for these hospitals was more limited.

We used HCFA's Provider of Service file created January 1, 1998 to establish our universe of hospitals. We identified Medicare-participating hospitals by their Medicare provider number. Hospitals that are not Medicare participating facilities (e.g., institutions for mental disease) were assigned a dummy provider number. Below, we provide a general description of the data elements we included and the sources for the data. Where the variables were created for specific analyses, more detailed information on the data and methods are provided in the chapter reporting on those analyses.

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