State Medicaid Expansion and Changes in Hospital Volume According to Payer

Eleven states with Medicaid expansion had a larger increase in Medicaid inpatient admissions and emergency department visits and a larger decrease in commercial insurance–paid inpatient admissions and self-paid emergency department visits than states without expansion. To the Editor: The Affordable...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 374; no. 2; pp. 196 - 198
Main Authors Hempstead, Katherine, Cantor, Joel C
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 14.01.2016
Subjects
Court decisions
Emergency services
Hospitals - trends
Hospitals - utilization
Humans
Medicaid
Medicaid - trends
Medicaid - utilization
Patient Admission - trends
Patient Protection and Affordable Care Act
State Health Plans
United States
United States
Washington DC
United States > US
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Summary:Eleven states with Medicaid expansion had a larger increase in Medicaid inpatient admissions and emergency department visits and a larger decrease in commercial insurance–paid inpatient admissions and self-paid emergency department visits than states without expansion. To the Editor: The Affordable Care Act (ACA) has many potential implications for the hospital industry. One of the most closely followed issues is the expansion of Medicaid, which became a state option as a result of the Supreme Court decision of 2012. 1 As of this writing, 31 states and Washington, D.C., have elected to expand Medicaid, and enrollment grew by 21% to more than 71 million persons between January 2014 and March 2015. 2 State decisions about Medicaid expansion potentially have important implications for hospital payment sources and revenue. A number of reports have shown a reduced volume of uninsured . . .
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMc1507366