Comparison of Utilization, Costs, and Quality of Medicaid vs. Subsidized Private Insurance - Five Key Findings

  1. Public health coverage through Medicaid associated with more emergency department visits and fewer office visits than private Marketplace coverage.
  2. Medicaid coverage associated with more emergency department visits and fewer office visits than private coverage through Marketplace
  3. Higher rate of emergency department visits by those covered by Medicaid might have stemmed from limitations on access to outpatient care or lower copayments for emergency department visits
  4. Marketplace coverage was more costly owing to higher prices and also had higher cost sharing
  5. Medicaid coverage was substantially less costly to beneficiaries and society than private coverage
  6. with mixed results on health care quality
Notes: RWJF Analysis of JAMA Network Study, January 2021

Source: RWJF Medicaid Research Roundup, April 2021 - https://thatsmedicaid.org/wp-content/uploads/2021/04/Medicaid-Research-Round-Up…

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