Study finds decrease in uninsured hospital patients, increase in those with Medicaid

June 21, 2016

In a study appearing in the June 21 issue of JAMA, Matthew M. Davis, M.D., M.A.P.P., of the University of Michigan, Ann Arbor, and colleagues examined changes in insurance coverage among hospitalized nonelderly adults after Michigan expanded Medicaid coverage in 2014 under the Affordable Care Act (ACA).

Using the Michigan Inpatient Database, the researchers compared insurance coverage for hospitalized patients during initial implementation of the Healthy Michigan Plan in April-December 2014 with corresponding months in 2012 and 2013 and examined patterns at the level of individual hospitals to ascertain whether the consequences of expanded coverage were uniform across institutions.

The analysis included 130 hospitals in Michigan that provide acute care. In April-December, uninsured patients represented 5.8 percent in 2012 and 6 percent in 2013 of nonelderly adult discharges compared with 2 percent in 2014. The proportion of discharges for nonelderly adults with Medicaid increased from 23 percent in 2012 and 24 percent in 2013 to 30 percent in 2014. The changes in proportions of discharges with private coverage and Medicare over the same period were smaller. Most of the changes in the proportions of uninsured and Medicaid discharges occurred in the first quarter of Medicaid expansion and remained stable for the rest of 2014.

In 94 percent of Michigan's acute care hospitals, the proportion of discharges for uninsured patients was lower in 2014 compared with the average proportion of uninsured discharges for 2012 and 2013. Conversely, in 88 percent of those hospitals, the proportion of discharges for Medicaid patients in 2014 exceeded the average proportion of discharges with Medicaid for 2012 and 2013.

"The reductions in uninsured patients occurred without an increase in the number of hospitalized nonelderly adults, suggesting opportunities to reduce uncompensated care," the authors write.
-end-
(doi:10.1001/jama.2016.6303; the study is available pre-embargo to the media at the For the Media website)

Editor's Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

The JAMA Network Journals

Related Affordable Care Act Articles from Brightsurf:

Affordable Care Act key to keeping people insured amid COVID 19-related job losses
Widespread layoffs amid the COVID-19 pandemic threaten to cut off millions of people from their employer-sponsored health insurance plans.

Affordable Care Act linked to better heart failure care for minorities, yet disparities persist
Heart failure patients from underserved racial or ethnic groups who live in states that have adopted the Affordable Care Act (ACA) Medicaid Expansion are more likely to receive recommended medical care than if they live in states that did not adopt the ACA Medicaid Expansion.

Affordable Care Act led to fewer disruptions in care
Among low-income adults enrolled in Medicaid, disruptions in coverage, or churning, decreased following the Affordable Care Act (ACA).

Affordable Care Act led to improved treatment of colorectal cancer among young adults
An Affordable Care Act provision that allowed young adults to be covered under their parents' insurance led to a shift to earlier-stage diagnosis and more timely receipt of adjuvant chemotherapy among young colorectal cancer patients, according to a new American Cancer Society study.

Contacts with primary care physicians did not increase after the Affordable Care Act
At the same time the Affordable Care Act increased the number of insured Americans, analysis of health care industry data shows a continued decline in contact with primary care physician services.

The Affordable Care Act's impact on insurance coverage & treatment in patients with HIV and cancer
A recent Cancer study reveals that, for people living with both HIV and cancer (PLWHC), implementation of the Patient Protection and Affordable Care Act (ACA) improved insurance coverage, both in states that expanded Medicaid coverage and those that did not.

Head and neck cancer patients benefited from Affordable Care Act
The rate of uninsured patients with head and neck cancers was 'significantly reduced' following the implementation of the federal Patient Protection and Affordable Care Act (ACA).

Affordable Care Act slashed the uninsured rate among people with diabetes
The Affordable Care Act (ACA) provided health insurance for an estimated 1.9 million people with diabetes, according to a newly published study.

Many still uninsured after Affordable Care Act Implementation
In community health centers in Medicaid expansion states, among established patients who were uninsured prior to the Affordable Care Act, many remained uninsured after implementation of the Obama-era law.

Nonphysician practitioners absorbing more new patient requests post Affordable Care Act
The advent of the Affordable Care Act has led to millions of new patients seeking primary care.

Read More: Affordable Care Act News and Affordable Care Act Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.