Effects of Expanded California Health Coverage on Hospitals: Implications for ACA Medicaid Expansions.

ABSTRACT:

Objective

To assess the effects on hospitals of early California actions to expand insurance coverage for low-income uninsured adults after passage of the Affordable Care Act.

Data sources/study setting

Data from the California Office of Statewide Health Planning and Development and the California Department of Health were merged with U.S. census data for 294 short-term general hospitals during the period 2009-2012.

Study design

A difference-in-difference analysis was conducted with hospitals in counties that did not implement insurance expansions used as a comparison group. Variables examined included payer mix, costs of unreimbursed care, and hospital operating margin. Sensitivity analyses were conducted as well as a triple difference analysis. Effects were estimate

SUBMITTER: Bazzoli GJ 

PROVIDER: S-EPMC4946027 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature