Noteworthy News

Medicaid Expansion Under the Affordable Care Act

How many people will the Affordable Care Act add to the nation’s Medicaid rolls?

Prognosticators have suggested that anywhere from 10 million to 25 million people will become newly eligible for Medicaid when the Affordable Care Act’s revised Medicaid eligibility standards take effect in 2014.  Earlier this year, the Congressional Budget Office (CBO) estimated that Medicaid would attract 16 million new enrollees between 2014 and 2019.

Now, researchers from the Harvard School of Public Health have weighed in on the debate.  While they suggest that the number of new Medicaid beneficiaries could range anywhere from 8.5 million to 22.4 million, they believe 13.4 million new people will enroll in the program between 2014 and 2019.

Future increases in Medicaid enrollment have significant implications for the National Association of Urban Hospitals (NAUH) and urban safety-net hospitals across the country.  Beginning in FY 2014, they will see their Medicare disproportionate share (Medicare DSH) and Medicaid disproportionate share (Medicaid DSH) payments cut sharply in anticipation of significant increases in the number of uninsured Americans.  Their financial health in the early years under the Affordable Care Act’s health insurance mandate will depend to a significant degree on how many Americans gain insurance when the act takes effect, how quickly they do so, and how completely (or incompletely) the number of their newly insured patients offsets their lost Medicare DSH and Medicaid DSH revenue.

Read about the Harvard study, which also addresses the budgetary implications of increased Medicaid enrollment, in this articleHealth Care Reform/Flag in the journal Health Affairs.

Leave a Reply

  • *

Search for
Noteworthy News

Related posts

    [exec] boposts_show(); [/exec]