How Would Medicaid Expansion Affect Texas Hospitals? Evidence From a Retrospective Quasi-Experimental Study
Bibliographic Data
| ID | 13775073 |
|---|---|
| Authors | Meryem Saygili (0000-0003-0167-6822, The University of Texas at Tyler, Tyler, TX, USA, corresponding author) |
| Year | 2022 |
| Volume | 59 |
| Pages | 469580221121534-469580221121534 |
| Publication date | 2022-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | INQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL) |
| Journal identifiers | ISSN: 0046-9580 • E-ISSN: 1945-7243 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/00469580221121534 |
| PMID | 36062306 |
| OpenAlex | W4294390561 |
| Language | EN |
| Citations received | 1 |
| References cited | 16 |
This study aims to estimate the impact of a potential Medicaid expansion on Texas hospitals. The Affordable Care Act (ACA) Medicaid expansion increased access to health care and improved health outcomes. Still, several states, including Texas, have not adopted the expansion. This is a retrospective quasi-experimental study. We obtained inpatient data containing discharges from Texas hospitals between 2010 and 2017 from the Texas Department of State Health Services. Texas hospitals receive a significant number of patients from the adjacent states. We use a difference-in-differences methodology, where the patients from the neighboring states that expanded Medicaid in 2014 are the treatment group, and those that reside in Texas are the control group. The outcome variables are the payer mix and the cost of treatment, proxied by Diagnoses Related Group (DRG) weights assigned by the Centers for Medicare and Medicaid Services (CMS). The Medicaid expansion is associated with 4.15% lower costs of treatment among the patients from the expansion states ( P P P < .01). There are no significant changes in the share of privately insured or Medicare patients. Texas hospitals can benefit significantly from Medicaid expansion due to reductions in average treatment costs and the share of the uninsured
Difference in differences · Economics · Family medicine · Health care · Health insurance · Health reform · Medicaid · Political science · Public health · Retrospective cohort study · Demography · Emergency Medicine · Global Health Care Issues · Healthcare Policy and Management · Internal Medicine · Medicine · Nursing · Primary Care and Health Outcomes · Health Policy
Early Coverage, Access, Utilization, and Health Effects Associated With the Affordable Care Act Medicaid Expansions
Changes in Utilization and Health Among Low-Income Adults After Medicaid Expansion or Expanded Private Insurance
Early Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non‐Expansion States
The Impact of Health Insurance on Preventive Care and Health Behaviors
| Citations per year | 0.25 |
|---|---|
| Citation span | 2022 - 2022 (1) |
| Highly cited | No |