From Urban Institute :: Health Policy Center <[email protected]>
Subject Did the ACA’s Medicaid expansion affect Medicare enrollee’s access to physicians?
Date August 29, 2019 11:32 AM
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Health Policy Center
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Health Policy Update







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The ACA Medicaid expansion&rsquo;s effect on Medicare enrollees&rsquo; access to physicians
Physician acceptance of Medicare patients remained about the same in most counties after implementation of the Affordable Care Act (ACA) coverage expansion. Overall, Medicaid expansion, relative to not expanding Medicaid, had no effect or a slightly positive effect on physicians&rsquo; acceptance rates of new Medicare patients.

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About 700,000 more Americans uninsured in 2017 than in 2016, concentrated in nonexpansion states
Coverage gains from the ACA stalled in 2017 despite a strong economy, with an increase of 700,000 uninsured Americans between 2016 and 2017. The increases in uninsurance were concentrated in states that did not expand Medicaid eligibility under the ACA.

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The geography of uninsurance in Massachusetts: An update for 2013&ndash;17
This brief identifies high-uninsurance communities in Massachusetts and provides new information about the characteristics of these communities and their uninsured residents to inform targeted outreach efforts. The study finds that Massachusetts&rsquo;s uninsured are concentrated in a relatively small number of communities, primarily in and around Boston.

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What explains the growth in per capita health spending from 2007 to 2016?
The growth in per capita health spending from the Great Recession until after full implementation of the ACA was largely driven by increases in per unit prices, quality, or intensity of treatment. Changes in health insurance played a significant role in the increase in per capita expenditures over this period.

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Increasing equity, diversity, and inclusion in policy research
A new funding opportunity from Policies for Action, a Robert Wood Johnson Foundation research program overseen by the Urban Institute, will support early-career researchers from underrepresented and historically disadvantaged backgrounds to help find solutions that promote health equity and build a Culture of Health.

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