Article: Reconsidering the effect of Medicaid on health care services use.

By any accounting, the Medicaid program has substantially expanded the amount of health care provided to the poor. In 1993, Medicaid paid for the health care of 13 percent of Americans, at a cost of $125 billion (Health Care Financing Administration 1994). The poor with Medicaid coverage have many more physician visits and hospital admissions than the uninsured poor. Estimates from the research literature suggest that persons on Medicaid have about 60-100 percent more physician visits annually than do the uninsured poor (Wilensky and Berk 1982; Chen and Lyttle 1987; Rowland and Lyons 1989; Freeman and Corey 1993). For children, those on Medicaid use about 16-20 percent more ...

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