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- W3122933466 abstract "The Affordable Care Act (ACA) authorized the largest expansion of public health insurance in the U.S. since the mid-1960s. We exploit ACA-induced changes in the discontinuity in coverage at age 65 using a regression discontinuity based design to examine effects of the expansion on health insurance coverage, hospital use, and patient health. We then link these changes to effects on hospital finances. We show that a substantial share of the federally-funded Medicaid expansion substituted for existing locally-funded safety net programs. Despite this offset, the expansion produced a substantial increase in hospital revenue and profitability, with larger gains for government hospitals. On the benefits side, we do not detect significant improvements in patient health, although the expansion led to substantially greater hospital and emergency room use, and a reallocation of care from public to private and better-quality hospitals." @default.
- W3122933466 created "2021-02-01" @default.
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- W3122933466 date "2019-01-01" @default.
- W3122933466 modified "2023-09-26" @default.
- W3122933466 title "The Impact of the Affordable Care Act: Evidence from California's Hospital Sector" @default.
- W3122933466 hasPublicationYear "2019" @default.
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