CAH Medicaid Payer Mix in Expansion vs. Non-Expansion States

Publication Date: Apr 2020
Author(s): CAH Financial Indicators Team
Research Center(s): North Carolina
Project: Analyzing Financial and Operational Performance of CAHs
Topic(s): Finance

Change in Medicaid payer mix could have material financial consequences for CAHs. Therefore, the purpose of this brief is to compare Medicaid payer mix in 2018 versus 2013 for CAHs in states that have and have not expanded Medicaid.

KEY FINDINGS:
• The 10 states with the greatest increases in median CAH Medicaid payer mix from 2013 to 2018 are all expansion states.
• Among the 17 states with a decrease in median CAH Medicaid payer mix from 2013 to 2018, 12 were non-expansion states.

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