Financial Burden of Medical Spending by State and the Implications of the 2014 Medicaid Expansions


This report offers a detailed look at medical spending nationwide, and shows where Medicaid expansion could have the most impact on reducing financial burden.

Ultimately, the report finds that many factors may contribute to the considerable geographic variation, including the price of care, how frequently people access it, and the generosity of local safety-net programs.

Key Findings

  • Significant differences in the impact of Medicaid expansion exist not just amongst states, but also regions of the country.

  • Residents of the Mid-Atlantic states have the lowest out-of-pocket spending burden.

  • Researchers also found that high medical spending for low-income populations vary more across states than for people with higher incomes.

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By developing policies and programs to expand health coverage and maximize enrollment in existing coverage programs, we are working to ensure that everyone in America has stable, affordable health care coverage.

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