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Does Medicaid expansion influence county health spending? A case of New York counties

Published online by Cambridge University Press:  05 October 2021

Shihyun Noh
Affiliation:
Department of Public Administration, SUNY College at Brockport, Rochester, USA
Ji-Hyung Park*
Affiliation:
Department of Public Administration, Soongsil University, Dongjak-gu, South Korea
*
*Corresponding author. Email: jihyungpark0819@gmail.com

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.

Type
Article
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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