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design to examine effects of the expansion on health insurance coverage, hospital use, and patient health. We then link these … changes to effects on hospital finances. We show that a substantial share of the federally-funded Medicaid expansion … hospital revenue and profitability, with larger gains for government hospitals. On the benefits side, we do not detect …
Persistent link: https://www.econbiz.de/10012479444
We examine whether obtaining prescription drug insurance through the Medicare Part D program affected hospital … Medicare Part D was associated with an 8% decrease in the number of hospital admissions, a 7% decrease in Medicare expenditures …
Persistent link: https://www.econbiz.de/10012458717
Medicaid expansion on a hospital's incentive to invest in technology. Using American Hospital Association data, we find that on …
Persistent link: https://www.econbiz.de/10012458505
We study a 2008 policy reform in which Medicare revised its hospital payment system to better reflect patients …' severity of illness. We construct a simulated instrument that predicts a hospital's policy-induced change in reimbursement …
Persistent link: https://www.econbiz.de/10012599313
first to use hospital data to examine the impact of this legislation on insurance coverage, utilization patterns, and … hospital discharges in Massachusetts, the reform decreased uninsurance by 36% relative to its initial level. We also find that … hospital level and find that hospital cost growth did not increase after the reform in Massachusetts relative to other states …
Persistent link: https://www.econbiz.de/10012462641
by horizontal hospital mergers as an instrument, we show that rising prices raise the cost of labor by increasing …
Persistent link: https://www.econbiz.de/10014576642
State governments face the classic "make or buy" decision for the provision of Medicaid services. Over the past two decades, the majority of states have outsourced the provision of social health insurance through Medicaid Managed Care (MMC) programs. These programs have been extensively studied...
Persistent link: https://www.econbiz.de/10012585428
A large literature examines the effect of health insurance on mortality. We contribute by emphasizing two challenges in using the Affordable Care Act (ACA)'s quasi-experimental variation to study mortality. The first is non-parallel pretreatment trends. Rising mortality in Medicaid non-expansion...
Persistent link: https://www.econbiz.de/10012479522
The purpose of this paper is to estimate the impact of the major components of the ACA (Medicaid expansion, subsidized Marketplace plans, and insurance market reforms) on disparities in insurance coverage after four years. We use data from the 2011-2017 waves of the American Community Survey...
Persistent link: https://www.econbiz.de/10012480103
Some states that have not adopted the Affordable Care Act (ACA) Medicaid expansions have stated concerns that the expansions may impair access to care and utilization for those who are already insured. We investigate such negative spillovers using a large panel of Medicare beneficiaries. Across...
Persistent link: https://www.econbiz.de/10012480805