Many States Were Able To Expand Medicaid Without Increasing Administrative Spending

Abstract

With the passage of the Affordable Care Act, states were given the option to expand their Medicaid programs. Since then, thirty-eight states and Washington, D.C., have done so. Previous work has identified the widespread effects of expansion on enrollment and the financial implications for individuals, hospitals, and the federal government, yet administrative expenditures have not been considered. Using data from all fifty states for the period 2007–17, our study estimated the effects of Medicaid expansion overall, as well as differing...

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