Association of Medicaid Expansion With Quality in Safety-Net Hospitals.

ABSTRACT:

Importance

Safety-net hospitals (SNHs) operate under limited financial resources and have had challenges providing high-quality care. Medicaid expansion under the Affordable Care Act led to improvements in hospital finances, but whether this was associated with better hospital quality, particularly among SNHs given their baseline financial constraints, remains unknown.

Objective

To compare changes in quality from 2012 to 2018 between SNHs in states that expanded Medicaid vs those in states that did not.

Design, setting, and participants

Using a difference-in-differences analysis in a cohort study, performance on quality measures was compared between SNHs, defined as those in the highest quartile of uncompensated care in the pre-Medicaid expansion period, in expansion

SUBMITTER: Chatterjee P 

PROVIDER: S-EPMC7885093 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature