Navigation Links
Assessing the cost of the Affordable Care Act and expanding Medicaid
Date:11/2/2012

HERSHEY, Pa. -- Extending Medicaid coverage to currently uninsured adults is likely to increase the cost of the program, according to health policy researchers, because those patients are prone to have more expensive health problems than nondisabled adults currently enrolled in Medicaid.

The Affordable Care Act gives individual states the option to expand their Medicaid programs to cover many who are uninsured. A study by Penn State and Wake Forest University researchers is among the first to quantify the potential financial impact of this option.

"We sought to compare the health needs and health-services utilization of the uninsured who are served by safety-net providers with those of nondisabled adult Medicaid recipients living in the same county, in order to help project the potential financial impact of enrolling uninsured people in Medicaid," the researchers stated in a recent issue of the North Carolina Medical Journal.

Wenke Hwang, associate professor of public health sciences at Penn State College of Medicine, and colleagues studied these two groups in Buncombe County, North Carolina, in 2008. Buncombe County's clinics and safety-net providers maintain comprehensive records about patients and the treatments they receive, offering a unique opportunity to assess the general health status and needs of the uninsured population.

Previous research has determined that uninsured patients were less likely to have been admitted to a hospital or to have visited an emergency room or outpatient clinic than Medicaid recipients. However, the uninsured tended to have ailments that cost more to treat than those with Medicaid.

"We found that if the low-income uninsured non-elderly adults had been covered by Medicaid, based on their illness burden profiles, they would have incurred 13 percent more costs on average than the non-elderly Medicaid recipients," said Hwang. "This means that the non-elderly uninsured population has, on average, a slightly higher disease burden than the non-elderly Medicaid recipients."

The study looked at nearly 11,000 people over the course of the year. Medicaid recipients accounted for 7,191 of them and uninsured county-clinic patients numbered 3,603.

"Health reform laws will provide insurance coverage to many currently uninsured populations," said Hwang. "However, it may be more cost effective to simply strengthen the financial viability of the current safety-net providers without expansion of state Medicaid."

Kimberly Liao, research associate, public health sciences, Penn State College of Medicine; Leah Griffin, statistician, biostatistical sciences, and Mark Hall, professor of social science and health policy, both at Wake Forest University School of Medicine, also contributed to this research.


'/>"/>

Contact: Victoria M. Indivero
vmi1@psu.edu
814-865-9481
Penn State
Source:Eurekalert

Related medicine news :

1. Study examines use of a natural language processing tool for electronic health records in assessing colonoscopy quality
2. Assessing Olympic terrorism threats
3. Fatal bridge collapse spurs new, affordable, instant warnings
4. The Affordable Care Act could have negative consequences for elderly recipients
5. Expanding database enables discoveries in emerging field of metabolomics
6. Expanding Medicaid to low-income adults leads to improved health, fewer deaths
7. Expanding Access to Medicaid Would Save Lives: Study
8. Health Reform 2.0: Governors Pushing Back on Medicaid Expansion
9. Poorest Americans at risk if states opt out of Medicaid expansion
10. Many Medicaid Patients Skip Drugs That Could Prevent Heart Trouble
11. Feinstein Institute to Receive Grant from Centers for Medicare & Medicaid Services to Improve Schizophrenia Treatment
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... 2016 , ... Global law firm Greenberg Traurig, P.A. announced that 20 Florida ... their peers for this recognition are considered among the top 2 percent of lawyers ... as members of this year’s Legal Elite Hall of Fame: Miami Shareholders Mark ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San ... Society and the Road To Recovery® program to drive cancer patients to and from ... adults to ensure the highest quality of life and ongoing independence. Getting to ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... People across ... in Genome magazine’s Code Talker Award, an essay contest in which patients and their ... award to be presented at the 2016 National Society of Genetic Counselors (NSGC) Annual ...
(Date:6/24/2016)... ... June 24, 2016 , ... The ... recognize Dr. Barry M. Weintraub as a prominent plastic surgeon and the network’s ... the world, and the most handsome men, look naturally attractive. Plastic surgery should ...
(Date:6/24/2016)... ... June 24, 2016 , ... Strategic Capital Partners, LLC (SCP) ... obtaining investment capital for emerging technology companies. SCP has delivered investment events ... in more than a million dollars of capital investment for five companies. ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... BEVERLY HILLS, Calif. , June 23, 2016 ... faced the many challenges of the current process. Many of ... option because of the technical difficulties and high laboratory costs ... would have to offer it at such a high cost ... to afford it. Dr. Parsa Zadeh , ...
(Date:6/23/2016)... a startling report released today, National Safety Council research ... proven plan to eliminate prescription opioid overdoses. Prescription Nation ... tackling the worst drug crisis in recorded U.S. history, assigned a ... , New Mexico , Tennessee ... failing states, three – Michigan , ...
(Date:6/23/2016)... , June 23, 2016 Research and ... Devices Medical Market Analysis 2016 - Forecast to 2022" ... The report contains up to date financial data derived ... Assessment of major trends with potential impact on the market ... of market segmentation which comprises of sub markets, regional and ...
Breaking Medicine Technology: