High Public Payer Hospitals


Massachusetts categorizes certain acute hospitals as High Public Payer hospitals (HPP) for the purpose of setting MassHealth rates.

In order to qualify for the High Public Payer Hospital Supplemental Payment, a Hospital must have received more than 63% of its Gross Patient Service Revenue in FY17 from government payers and free care, as determined by the Executive Office of Health and Human Services (EOHHS) based on the Hospital’s FY17 Massachusetts Hospital Cost Report.

A hospital qualified for HPP status if it had 63% or more of gross patient service revenue attributed to Medicare, Medicaid, and other government payers, including the Health Safety Net.

It should be noted that Centers for Medicare and Medicaid Services (CMS) determines a hospital’s DSH status according to different criteria.