Medicaid expansion under the ACA has on balance been positive from any coverage, access and economic viewpoint.
The Effects of Medicaid Expansion under the ACA: Updated Findings from a Literature Review
Larisa Antonisse, Rachel Garfield, Robin Rudowitz Follow @RRudowitz on Twitter , and Samantha Artiga Published: Mar 28, 2018
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Economic measures: Analyses find positive effects of expansion on numerous economic outcomes, despite Medicaid enrollment growth initially exceeding projections in many states. Total (federal and state) Medicaid spending increased following expansion implementation, but research suggests that there were no significant increases in state spending from state funds as a result of the expansion through 2015 (although an uptick in state Medicaid spending growth was projected for 2017 and later years as the federal share for the expansion population phases down from 100% to 90%). Studies also show that Medicaid expansions result in reductions in uncompensated care costs for hospitals and clinics as well as positive or neutral effects on employment and the labor market.