
FFY 2026 IPPS Proposed Rule: Uncompensated Care (UC) DSH
Toyon's summary of CMS’s proposed changes to Medicare UC DSH payments as part of the FY26 IPPS Proposed Rule and recommendations for providers.

FFY 2024 IPPS Final Rule: Uncompensated Care (UC) DSH
CMS finalized a decrease in Medicare UC DSH payments by -$950 million, to $6.0 billion in FFY 2024. In FFY 2024, providers will receive a UC DSH payment representing 17.5% of UC Costs, whereby in FFY 2023 providers received 20.2% of UC Costs. CMS is also now using a three-year average of UC cost to determine each DSH hospital’s portion of the fund.



