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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 Open the ORCID record for Shihyun Noh [Opens in a new window]  and
Ji-Hyung Park Open the ORCID record for Ji-Hyung Park [Opens in a new window]
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: [email protected]
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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.

Keywords

Health spendinglocal governmentMedicaid expansion
Type
Article
Information
Health Economics, Policy and Law , Volume 17 , Issue 3 , July 2022 , pp. 332 - 347
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Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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