Association Between the ACA Medicaid Expansions and Primary Care and Emergency Department Use During the First 3 Years.

ABSTRACT:

Background

Evidence is limited and mixed as to how the Patient Protection and Affordable Care Act (ACA) Medicaid expansions affected the utilization of primary care physicians (PCPs) and emergency departments (EDs) at the national level.

Objective

To examine the association between the ACA Medicaid expansions and changes in the utilization of PCP and ED visits at the national level during the first 3 years (2014-2016) of the implementation.

Design

A difference-in-differences analysis to compare outcomes between individuals in 32 states that expanded Medicaid versus individuals in 19 non-expansion states.

Participants

A nationally representative sample of US-born individuals 26-64 years old with family incomes lower than 138% of the federal poverty level from th

SUBMITTER: Gotanda H 

PROVIDER: S-EPMC7080920 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature