Association Between State Medicaid Expansion and Emergency Access to Acute Care Hospitals in the United States.

ABSTRACT:

Importance

State decisions not to expand Medicaid under the Patient Protection and Affordable Care Act could reduce emergency access to acute care hospitals.

Objective

To determine the relationship between state Medicaid expansion and emergency access to acute care hospitals in the United States.

Design, setting, and participants

This cross-sectional study linked hospital-level data from the Centers for Medicare & Medicaid Services from 2007 to 2017 to US Census data for all 50 US states and the District of Columbia. Geospatial analyses and difference-in-differences regression models were used to compare temporal changes in the size of the population without 30-minute access to acute care hospitals between 32 states that expanded Medicaid with the population without a

SUBMITTER: Wallace DJ 

PROVIDER: S-EPMC7670316 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature