Trends in Hospital Utilization After Medicaid Expansion.

ABSTRACT:

Background

Medicaid expansion was associated with an increase in hospitalizations funded by Medicaid. Whether this increase reflects an isolated payer shift or broader changes in case-mix among hospitalized adults remains uncertain.

Reseearch design

Difference-in-differences analysis of discharge data from 4 states that expanded Medicaid in 2014 (Arizona, Iowa, New Jersey, and Washington) and 3 comparison states that did not (North Carolina, Nebraska, and Wisconsin).

Subjects

All nonobstetric hospitalizations among patients aged 19-64 years of age admitted between January 2012 and December 2015.

Measures

Outcomes included state-level per-capita rates of insurance coverage, several markers of admission severity, and admission diagnosis.

Results

We identif

SUBMITTER: Admon AJ 

PROVIDER: S-EPMC6417939 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature