Twenty-one states have opted not to expand Medicaid under the Affordable Care Act (ACA), arguing that the expansion would be too expensive. But according to new research, the cost to hospitals from uncompensated care in those states roughly equals the cost of Medicaid expansion.
The study, “Hospitals as Insurers of Last Resort,” by economists at Northwestern University and Columbia University’s Mailman School of Public Health is released online today as a National Bureau of Economic Research working paper.