An official website of the United States Government —

Here’s how you know

Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

GAO makes MedPAC commissioner appointments:

Click here for more information.

Advising the Congress on Medicare issues
MedPAC > Recommendations > Hospital inpatient and outpatient services (2)

Hospital inpatient and outpatient services (2)

March 15, 2023

In fiscal year 2024, the Congress should: 

  • begin a transition to redistribute disproportionate share hospital and uncompensated care payments through the Medicare Safety-Net Index (MSNI); 
  • add $2 billion to the MSNI pool; 
  • scale fee-for-service MSNI payments in proportion to each hospital’s MSNI and distribute the funds through a percentage add-on to payments under the inpatient and outpatient prospective payment systems; and 
  • pay commensurate MSNI amounts for services furnished to Medicare Advantage (MA) enrollees directly to hospitals and exclude them from MA benchmarks. 

Appeared in: March 2023 - Chapter 3

Topics: Hospital.