Unbiased Analysis of Today's Healthcare Issues

Medicaid Expansions and Crowd Out

Most previous research into Medicaid expansions focus on extending coverage to pregnant women or children. However, a recent Section 1115 waiver allows for researcher to examine what happens when Medicaid coverage is extended to a larger share of adults. This is exactly what a paper by Atherly et al. (2015) examines: …prior to ACA adults […]

Read the rest of this entry »

Does home health care reduce long-term care costs?

It has long been posited that increased used of home health care will decrease the use of long-term care.  Clearly, there are some patients who need assistance, but for whom long-term care is not needed.  If most of these people who would use home health care would otherwise be in long-term care, home health care […]

Read the rest of this entry »

Medicaid Expansion and States’ bottom line

A recent RWJF Issue Brief notes that states that expanded Medicaid received more revenue from the federal government and had less state-level spending on programs that support the uninsured. In examining Medicaid expansion across eight states—Arkansas, Colorado, Kentucky, Michigan, New Mexico, Oregon, Washington and West Virginia—it is clear that states are realizing savings and revenue […]

Read the rest of this entry »

How did Obamacare affect Medicaid enrollment?

The Affordable Care Act (ACA) contained the provision requiring States to significantly expand Medicaid eligibility. The Supreme Court, however, ruled that states had the option of implementing this provision.  Thus, the change in Medicaid eligibility and subsequent enrollment varied significantly across states based largely on whether or not they were an expansion state.  A recent […]

Read the rest of this entry »

Insurance does not equal health care

One part of the Affordable Care Act extended Medicaid benefits to millions of Americans.  One problem, however, is that patients with Medicaid insurance often have trouble finding doctors who will treat them.  The New York Times reports: Large numbers of doctors who are listed as serving Medicaid patients are not available to treat them, federal […]

Read the rest of this entry »

Medicaid Expansion States

Which states have decided to receive additional federal funds to expand the share of people they cover under Medicaid?  The Kaiser Family Foundation has the answer. Alabama Not Moving Forward at this Time Alaska  Not Moving Forward at this Time Arizona Implementing the Medicaid Expansion  Arkansas Implementing the Medicaid Expansion California  Implementing the Medicaid Expansion Colorado Implementing the Medicaid Expansion […]

Read the rest of this entry »

Treating Dual Eligibles

The PBS Newshour has an interesting story on the treatment of the 9 million dual-eligible beneficiaries in the US.  They discuss integrated care model in California, Cal MediConnect.  

Read the rest of this entry »

Docs benefiting from Medicaid Expansions

PwC’s Health Research Institute reports that times are good if you are a safety net provider in a state that expanded Medicaid coverage: Physicians, hospitals and health systems operating in the 26 states and the District of Columbia that pursued the option to broaden Medicaid coverage with federal dollars have seen a significant rise in […]

Read the rest of this entry »

Disparities in Schizophrenia Care

Do African Americans and Latinos receive the same quality care as Caucasians?  This is the question asked by Horvitz-Lennon et al. (2014). Quality of Care Before one can answer this question, one first has to define what “quality care” means.  The authors use the following definition for pharmacological indicators: Any use of antipsychotic drugs, Conditional on […]

Read the rest of this entry »

ACA, Medicaid Enrollment and the Woodwork Effect

The Supreme Court upheld the Affordable Care Act with one major exception; it declared that states did not have to expand their Medicaid eligibility rules. However, the ACA may have indirectly increased Medicaid enrollment even in States that did not change their eligilbity rules. Avalere Health reports that: 17 of the 26 states that did not […]

Read the rest of this entry »