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Recommendations to Strengthen Safety-Net Hospitals Under Health Reform

A new report from the Commonwealth Fund Commission on a High Performance Health System offers a series of recommendations to shore up safety-net hospitals and make sure that they can continue to provide high-quality care to low-income, vulnerable patients. According to the report, anticipated reductions under the Affordable Care Act in Medicaid and Medicare payments to hospitals that serve a disproportionately large share of poor and uninsured patients, as well as expected changes in funding streams due to an influx of Medicaid patients, pose challenges to these institutions. The report suggests strategies that would better target public dollars to these hospitals to sustain them, as well as to stimulate and reward high performance.

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