Commonwealth Fund March 14, 2019
Randy Haught, Allen Dobson, and Phap-Hoa Luu


In states that impose work requirements, fewer covered Medicaid beneficiaries means hospitals will see reduced revenues, increased uncompensated care costs, and smaller operating margins

Implementing Medicaid work requirements will impact hospitals differently across states, depending on factors like payer mix, program design issues like age limits, and the portion of enrollees who become uninsured


  • Issue: The recent debate regarding Section 1115 demonstration waivers that include work requirements has focused on potential loss of coverage for Medicaid beneficiaries, but little has been discussed about the potential impact on providers that serve Medicaid patients.
  • Goal: To assess the potential financial...

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