Safety-net hospitals (SNHs) provide a disproportionate share of care to uninsured and Medicaid patients. Because they have few privately insured patients, SNHs cannot cover the costs of uncompensated care for the uninsured by charging higher fees to insured patients. As a result of the heavy burden of uncompensated care for the uninsured and inadequate Medicaid reimbursement rates, most SNHs have negative operating margins.1
Neuhausen K, Katz MH. Patient Satisfaction and Safety-Net HospitalsCarrots, Not Sticks, Are a Better Approach. Arch Intern Med. 2012;172(16):1202–1203. doi:10.1001/archinternmed.2012.3175
* * SCHEDULED MAINTENANCE * *
The JAMA Network Sites will be conducting routine maintenance from 10/20/2017 through 10/21/2017. During this window access to content and authentication may be intermittently available. The JAMA Store will be completely unavailable during the maintenance window.