Temple University Health System President and CEO Larry Kaiser told PBJ how the Affordable Care Act would impact TUHS. "The government wants to decrease disproportionate share payments on the premise that safety net hospitals like ours will have fewer uninsured to care for," Kaiser said. "It's an interesting premise, but it doesn't hold true for places like ours." Kaiser said Temple works hard at getting patients who show up at one of its hospitals without insurance enrolled in a Medicaid plan if they qualify. As a result, he said, TUHS' percentage of patients with no insurance is "in the single digits." TUHS expects to lose an estimated $60 million in disproportionate share payment reductions between 2014 and 2019.