Spending would decrease by $79.9 billion if all states drop the Medicaid expansion in response to reduced federal funding, with hospitals facing the largest losses, $31.9 billion. Uncompensated care costs would increase by $18.9 billion.
Urban researchers find that imposing per capita caps would reduce federal spending over 10 years by between $676 and $1,104 billion. Reducing the federal match for expansion populations would save $563 billion over 10 years.
Black-white disparities in patient safety in DC appeared to be driven by unequal access to the safest hospitals, as opposed to systematic differences in patient care within hospitals.
The impact of TEC, which aims to coordinate referrals to evidence-based home visiting and connect families earlier, has varied at the local implementation agency, but findings suggest the TEC model is bearing fruit in its early implementation.