Medicaid Disproportionate Share Hospital (DSH) payments are critical for public health care systems, ensuring that low income individuals across California can receive timely high-quality health care services.

Public health care systems are undertaking a statewide standardized approach to reduce disparities. With data from program year three, this one pager provides a snapshot on progress with data collection and disparities reduction projects.

For more than a decade, California’s 21 public health care systems have been leading efforts to evolve safety net payments from volume to value. This brief describes the impact of 1115 Medicaid waivers and the importance of continuing this work in the future.