Changes in Hospital Inpatient Utilization Following Health Care Reform.

ABSTRACT:

Objective

To estimate the effects of 2014 Medicaid expansions on inpatient outcomes.

Data sources

Health Care Cost and Utilization Project State Inpatient Databases, 2011-2014; population and unemployment estimates.

Study design

Retrospective study estimating effects of Medicaid expansions using difference-in-differences regression. Outcomes included total admissions, referral-sensitive surgical and preventable admissions, length of stay, cost, and patient illness severity.

Findings

In 2014 quarter four, compared with nonexpansion states, Medicaid admissions increased (28.5 percent, p = .006), and uninsured and private admissions decreased (-55.1 percent, p = .001, and -6.6 percent, p = .052), whereas all-payer admissions showed little change. Uninsured expansi

SUBMITTER: Pickens G 

PROVIDER: S-EPMC6052018 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature