The states that offer more generous coverage for high-cost treatments than the Affordable Care Act, such as New York and California, have also seen the most patients drop out of health care over the past two years, according to a study released Thursday.
In fact, the states that have the most people in hospitals who are covered by the law are also among the states with the most hospitalizations for non-infectious conditions.
Among the findings: New York has seen a 23 percent drop in admissions for chronic conditions in the past year, and a 17 percent drop for chronic disorders, such that the state has seen the lowest hospitalization rate of any state in the country.
California, which expanded Medicaid in 2014, has seen an increase in admissions and deaths, but a similar drop in hospitalizations.
California has seen more than 20,000 deaths since Medicaid expansion began, compared with just over 1,000 during the same period in 2016.
The study, published in the New England Journal of Medicine, found that Medicaid expansion has helped lower rates of people dropping out of care, with Medicaid coverage for chronic and non-communicable conditions falling from 28.8 percent to 17.9 percent in the two years since expansion began.
The authors said that while states with higher levels of uninsured people may have higher hospitalizations, the analysis did not address whether the states have seen the fastest drops in the numbers of people staying in care.
Overall, the researchers found that states that expanded Medicaid saw the greatest drops in admissions to hospitals.
They noted that California had a similar pattern, with an increase of admissions and a drop in the number of deaths from acute and chronic conditions.
The report also found that the number and type of conditions that were covered by Medicaid increased in states that did not expand, and that the share of health insurance coverage that was non-discriminatory decreased.
“The states that were not expanding did not have a substantial increase in the use of non-discrimination protections in their Medicaid programs, nor did they see a substantial decrease in the proportion of Medicaid beneficiaries who were uninsured or in high-deductible plans,” the authors wrote.
There are some caveats to the study, however, the authors acknowledged.
First, Medicaid coverage is not universal across the country, so there are likely differences in how people with health problems are covered.
Second, there are a number of other factors that may affect Medicaid coverage.
The researchers also noted that there were not enough people enrolled in Medicaid in states with more than 50 percent of the population that the researchers were able to control for.
Finally, the study did not examine whether Medicaid coverage affected the overall health care costs of people.
That study found that higher Medicaid coverage was associated with more hospitalizations and higher costs, though it also found a link between Medicaid coverage and higher incomes and lower costs.
This is the second study in less than a week that has found that some states have made significant gains in their coverage of people with high-COVID-19 rates, which has led to a drop-off in hospital admissions and other healthcare costs in the state.
Read more at the Washington Post