Medicaid expansion cuts could hit provider revenue, spike uncompensated care: report

Healthcare DIVE March 12, 2025
Emily Olsen

If states end their expansion programs, spending on healthcare services would fall by nearly $80 billion and uncompensated care costs would rise by nearly $19 billion in 2026.

Dive Brief:

• Providers in Medicaid expansion states would see significant revenue losses and an increase in uncompensated care if lawmakers cut funding for expansion programs, according to a report by the Urban Institute and the Robert Wood Johnson Foundation.
• If all 41 states with expanded Medicaid programs were to end them in response to decreased funding, a spike in the uninsured population would result in a decrease of $80 billion in spending on healthcare services next year. Meanwhile, services provided without reimbursement would rise by nearly $19 billion.
• Hospitals would...

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