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Colorado is the first state to analyze whether hospital cost-shifting — often referred to as a “hidden tax” on health plans — dropped following Medicaid expansion. (Photo: Shutterstock)

The Medicaid expansion promoted by the Affordable Care Act was a boon for St. Mary’s Medical Center, the largest hospital in western Colorado. Since 2014, the number of uninsured patients it served dropped by more than half, saving the nonprofit hospital more than $3 million a year.

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