Medicaid Expansion May Have Led More Medicaid Patients Seeking Care at Non–Safety-Net Hospitals
Following implementation of the Affordable Care Act (ACA), Medicaid-funded hospital stays rose overall, but the trend was more pronounced for hospitals not designated as “safety net” hospitals, a new AHRQ study indicates. The results suggest that newly enrolled Medicaid patients, when given the option, may be choosing non–safety-net hospitals rather than safety-net hospitals for their care, researchers said. The study, published in Health Services Research, found that Medicaid-funded hospital stays increased about 14 percent more in non–safety-net hospitals than their safety-net counterparts between 2013 and 2014, when Medicaid was expanded under the ACA. Safety-net hospitals are those that care for a larger-than-usual proportion of patients who are low income, uninsured or underinsured. These hospitals typically receive additional reimbursements through federal, state, and local funding mechanisms. The study was based on data from AHRQ’s Healthcare Cost and Utilization Project. Access the abstract.
Health Serv Res. 2018 Jan 21. doi: 10.1111/1475-6773.12812. [Epub ahead of print]
Early Impact of the Affordable Care Act Coverage Expansion on Safety-Net Hospital Inpatient Payer Mix and Market Shares.
Wu VY1, Fingar KR2,3, Jiang HJ4, Washington R5, Mulcahy AW6, Cutler E7, Pickens G3.
DATA COLLECTION METHODS:
© Health Research and Educational Trust.
Community hospitals; Medicaid expansion; medically uninsured; safety-net hospitals; state health policies; utilization
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