New Study: Effects of the 1966 Medicare/Medicaid and the 2014 Affordable Care Act Coverage Expansions on Physician Use

Our new study was published yesterday online in the American Journal of Public Health.  We analyzed the effects of the 1966 Medicare/Medicaid and the 2014 Affordable Care Act coverage expansions on the utilization of physician services — both visits and procedures.  We found that although these coverage expansions redirected care to the newly covered, they did not increase overall society-wide use.   Considered together with our study of how these expansions affected hospital utilization (together with other work on the utilization effects of Canadian single-payer, the NHS, and pre-ACA Medicaid expansions), this research suggests that estimates of the cost of coverage expansions may often be in error.