Work

Heterogeneous Effects of the Aca Medicaid Expansion on Hospital Financial Outcomes

Year: 2019

Type: article

Abstract: This study examines the effect of the Affordable Care Act's Medicaid expansion on hospital financial outcomes. A key innovation relative to prior studies is that we explicitly account for heterogeneity across states in the timing and extent of the expansion as well as across hospital types. We find that Medicaid expansion led to a decrease in uncompensated care expenditures and an increase in average operating margins. The effects were larger in states where the Medicaid expansion led to a greater increase in program eligibility. Operating margins improved most for public hospitals and facilities located in rural areas. (JEL I11, I13, I18)

Source: Contemporary Economic Policy

DOI: 10.1111/coep.12428

Authors: Jordan H. Rhodes, Thomas C. Buchmueller, Helen G. Levy, Sayeh S. Nikpay

Institutions: University of Michigan, Institute for Social Research, Vanderbilt University

Language: English

Topic: Healthcare Policy and Management

Subfield: Economics and Econometrics

Field: Economics, Econometrics and Finance

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $2,500