Affordable Care Act and healthcare delivery: A comparison of California and Florida hospitals and emergency departments.

ABSTRACT:

Importance

The Affordable Care Act (ACA) has expanded access to health insurance for millions of Americans, but the impact of Medicaid expansion on healthcare delivery and utilization remains uncertain.

Objective

To determine the early impact of the Medicaid expansion component of ACA on hospital and ED utilization in California, a state that implemented the Medicaid expansion component of ACA and Florida, a state that did not.

Design

Analyze all ED encounters and hospitalizations in California and Florida from 2009 to 2014 and evaluate trends by payer and diagnostic category. Data were collected from State Inpatient Databases, State Emergency Department Databases and the California Office of Statewide Health Planning and Development.

Setting

Hospital and ED en

SUBMITTER: Barakat MT 

PROVIDER: S-EPMC5542622 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature