Rural hospitals are hurting in states that chose not to embracethe Affordable Care Act’s expansion of Medicaid.
The expansion, which was originally crafted to be mandatory butwas rendered optional by a Supreme Court decision, was fundedentirely by the federal government for the first several years andwill be 90 percent federally-funded in the long-run. The expansionenables states to raise the eligibility for Medicaid to allhouseholds below 133 percent of the federal poverty level.
A study published this week in Health Affairs found that Medicaid expansion had a muchgreater impact on the bottom lines of rural hospitals’ than thoseof urban hospitals.
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