ACA Medicaid Expansion and Providers Serving the Homeless Population

In mid-March, the Henry J. Kaiser Family Foundation published an issue brief exploring the impact of the ACA Medicaid Expansion on providers serving the homeless population. According to the authors, “To further understand how the first full year of Medicaid expansion has affected patients who are homeless and the providers who care for them, this analysis uses data from the Uniform Data System (UDS) for health centers to examine changes in insurance coverage, revenues, and costs among Health Care for the Homeless (HCH) projects serving the homeless population.”

The key findings included:

  1. There have been significant coverage gains among patients at HCH projects since implementation of the ACA in 2014, with much larger gains among patients at HCH projects in states that expanded Medicaid compared to non-expansion states.
  2. HCH Projects in expansion states also had larger gains in revenue and smaller increases in costs compared to those in non-expansion states.
  3. For HCH projects in expansion states, third-party payments increased as a share of total revenue due to coverage gains among patients.
  4. The distribution of costs remained fairly stable among HCH projects in both expansion and non-expansion states.

To learn more, read the issue brief from the Henry J. Kaiser Family Foundation.