Comparing the Affordable Care Act's Financial Impact on Safety-Net Hospitals in States That Expanded Medicaid and Those That Did Not.
Issue Brief (Commonw Fund)
; 2017: 1-10, 2017 Nov 01.
Article
em En
| MEDLINE
| ID: mdl-29232088
ABSTRACT
Issue Safety-net hospitals play a vital role in delivering health care to Medicaid enrollees, the uninsured, and other vulnerable patients. By reducing the number of uninsured Americans, the Affordable Care Act (ACA) was also expected to lower these hospitals' significant uncompensated care costs and shore up their financial stability. Goal To examine how the ACA's Medicaid expansion affected the financial status of safety-net hospitals in states that expanded Medicaid and in states that did not. Methods:
Using Medicare hospital cost reports for federal fiscal years 2012 and 2015, the authors compared changes in Medicaid inpatient days as a percentage of total inpatient days, Medicaid revenues as a percentage of total net patient revenues, uncompensated care costs as a percentage of total operating costs, and hospital operating margins. Findings andConclusions:
Medicaid expansion had a significant, favorable financial impact on safety-net hospitals. From 2012 to 2015, safety-net hospitals in expansion states, compared to those in nonexpansion states, experienced larger increases in Medicaid inpatient days and Medicaid revenues as well as reduced uncompensated care costs. These changes improved operating margins for safety-net hospitals in expansion states. Margins for safety-net hospitals in nonexpansion states, meanwhile, declined.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Medicaid
/
Cuidados de Saúde não Remunerados
/
Economia Hospitalar
/
Patient Protection and Affordable Care Act
/
Provedores de Redes de Segurança
Tipo de estudo:
Health_economic_evaluation
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Issue Brief (Commonw Fund)
Assunto da revista:
PESQUISA EM SERVICOS DE SAUDE
Ano de publicação:
2017
Tipo de documento:
Article