Does Medicaid expansion influence county health spending? A case of New York counties. Issue 3 (5th July 2022)

• Record Type: Journal Article
• Authors: Noh, Shihyun; Park, Ji-Hyung
• Is Part Of: Health economics, policy and law. Volume 17:Issue 3(2022)
• Page Start: 332
• Page End: 347
• Publication Date: 2022-07-05
• Subjects: Health spending -- local government -- Medicaid expansion; Medical economics -- Periodicals; Medical policy -- Periodicals; Medical laws and legislation -- Periodicals; 362.1
• DOI: 10.1017/S174413312100030X
• Languages: English
• ISSNs: 1744-1331

Abstract

Abstract: We investigated the impacts of Medicaid expansion on New York county total health spending and specifics of health spending, including health services, public health facilities and public health administration. Little research considered the financial effect of Medicaid expansion on local governments while well reported are its influences on uninsured rates and health services utilization. New York counties have contributed to health in their boundaries by providing or funding public health services, and supporting a part of the non-federal share of Medicaid expenditures and uncompensated care. Medicaid expansion can reduce the size of county expenditures for health by enrolling more previously uninsured population in the program and offering more generous federal funding for the expanded Medicaid. We offer empirical evidence that Medicaid expansion was associated with reduced county health spending.