In recognition of the Medicaid program's 50th anniversary, the July issue of Health Affairs contains papers focusing on how Medicaid is shaped by and has reshaped care delivery. Several articles that examine issues pertaining to Medicaid at the state level include:
- MetroHealth Care Plus: Effects of a prepared safety net on quality of care in a Medicaid expansion population: Researchers studied the effect of Medicaid expansion for poor uninsured patients at three prepared safety net systems in northeast Ohio and found that quality of care improved for patients with chronic conditions at costs that were 29% lower than expected;
- Early Medicaid expansion in Connecticut stemmed the growth in hospital uncompensated care: Researchers looked at data from Connecticut's 2010 expansion of Medicaid to childless adults and found that uncompensated care was about one-third lower than it would have been without expansion; and
- In California, primary care continuity was associated with reduced emergency department use and fewer hospitalizations: Researchers found recently insured California residents who adhered to their individual primary care provider or clinic once they gained health coverage were less likely to use emergency departments or have hospital stays.