IDEAS home Printed from https://ideas.repec.org/a/bla/coecpo/v38y2020i1p81-93.html
   My bibliography  Save this article

Heterogeneous Effects Of The Aca Medicaid Expansion On Hospital Financial Outcomes

Author

Listed:
  • Jordan H. Rhodes
  • Thomas C. Buchmueller
  • Helen G. Levy
  • Sayeh S. Nikpay

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)

Suggested Citation

  • Jordan H. Rhodes & Thomas C. Buchmueller & Helen G. Levy & Sayeh S. Nikpay, 2020. "Heterogeneous Effects Of The Aca Medicaid Expansion On Hospital Financial Outcomes," Contemporary Economic Policy, Western Economic Association International, vol. 38(1), pages 81-93, January.
    • Handle: RePEc:bla:coecpo:v:38:y:2020:i:1:p:81-93
    DOI: 10.1111/coep.12428
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/coep.12428
    Download Restriction: no
    File URL: https://libkey.io/10.1111/coep.12428?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ali Moghtaderi & Jesse Pines & Mark Zocchi & Bernard Black, 2020. "The effect of Affordable Care Act Medicaid expansion on hospital revenue," Health Economics, John Wiley & Sons, Ltd., vol. 29(12), pages 1682-1704, December.
    2. Pinka Chatterji & Hanna Glenn & Sara Markowitz & Jennifer Karas Montez, 2022. "ACA Medicaid Expansions and Maternal Morbidity," NBER Working Papers 30770, National Bureau of Economic Research, Inc.
    3. Pengju Zhang & Ling Zhu, 2021. "Does the ACA Medicaid Expansion Affect Hospitals’ Financial Performance?," Public Finance Review, , vol. 49(6), pages 779-814, November.

    More about this item

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:coecpo:v:38:y:2020:i:1:p:81-93. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://edirc.repec.org/data/weaaaea.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.