According to a new study published in JAMA Internal Medicine, expanding Medicaid does not reduce care access, nor does it increase emergency department (ED) use. Researchers from the Yale School of Public Health and the Brown University School of Public Health analyzed data to test to test the perception that Medicaid expansion reduces access by increasing demand for services.
In 10 states that expanded Medicaid between 2000 and 2009, enrollee reports of poor care access decreased from 8.5 percent to 7.3 percent. In the states that did not expand access, reports of poor access remained the same. In both states that expanded Medicaid and those that did not, ED use decreased among Medicaid enrollees, from 41.2 percent to 40.1 percent in expansion states and 37.3 percent to 36.1 percent in control states.
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