Abstract
Eleven states with Medicaid expansion had a larger increase in Medicaid inpatient admissions and emergency department visits and a larger decrease in commercial insurance–paid inpatient admissions and self-paid emergency department visits than states without expansion.
To the Editor:
The Affordable Care Act (ACA) has many potential implications for the hospital industry. One of the most closely followed issues is the expansion of Medicaid, which became a state option as a result of the Supreme Court decision of 2012.
1
As of this writing, 31 states and Washington, D.C., have elected to expand Medicaid, and enrollment grew by 21% to more than 71 million persons between January 2014 and March 2015.
2
State decisions about Medicaid expansion potentially have important implications for hospital payment sources and revenue.
A number of reports have shown a reduced volume of uninsured . . .