Changes in Emergency Department Payer Mix Among Children Following Medicaid Unwinding in Texas.

ABSTRACT:

Objective

To examine trends in children's emergency department (ED) visits' payer mix before and after Texas initiated Medicaid unwinding.

Study setting and design

We conducted a retrospective, secondary data analysis of children's ED visits in Texas, aggregated at the facility level. We analyzed trends in ED visit payer mix before and after Texas initiated unwinding and employed an interrupted time series design to examine the association between unwinding and ED visit payer mix.

Data sources and analytic sample

We used data from the Texas Emergency Department Public Use Data Files encompassing all children's ED visits between 2021 Q2 and 2024 Q2 and included 7.6 million visits from 472 facilities.

Principal findings

Average quarterly visits per facility incre

SUBMITTER: Giannouchos TV 

PROVIDER: S-EPMC12857445 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature