The Medicaid Expansion and its Effects on Hospital Revenue Público
Olsen, Timothy (Spring 2018)
Published
Abstract
This paper investigates the effect of the ACA’s voluntary Medicaid Expansion policy on hospital revenue streams. In 2010, The Patient Protection and Affordable Care Act was signed into law. However, the court determined that it was unconstitutional to force states to participate in the Medicaid Expansion, allowing states to opt out of the policy. In 2014, the Medicaid Expansion took effect. By the end of 2016, 31 states had accepted the expansion. With significant research studying specific revenue streams for hospitals, this study aims to determine whether overall hospital revenues have increased in expansion states compared to non-expansion states. The findings of this study show that expansion appears to have a negative impact on the overall revenues of hospitals in expansion states, relative to their non-expansion state counterparts.
Table of Contents
Table of Contents
I. Introduction………………………………......……………………………1
II. Policy Background ……..……………………………………….………...5
III. Related Literature..…………………………………………………..…...10
IV. Data……………………………………………………………...…….....12
V. Effects of the Medicaid Expansion………………………………………16
VI. Robustness and Sensitivity Tests………………………………………...20
VII. Discussion………………………………………………………………..26
VIII. Conclusion…………………………………………………………….….31
IX. References………………………………………………………………..33
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