Association of Medicaid Unwinding With Hospital Financial Outcomes Among General Acute Care and Critical Access Hospitals

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Explores the impacts of Medicaid unwinding, the 18-month period during which states reassessed enrollees' eligibility and disenrolled those who no longer qualified for Medicaid coverage at the end of the COVID-19 public health emergency, on general acute care and Critical Access Hospital (CAH) finances. Describes the trends regarding uncompensated care costs and Medicaid revenue between 2021-2024, and compares data from the pre-unwinding (2021-2022) and post-unwinding (2023-2024) periods.

Nima Khodakarami, Joel E. Segel

Health Services Research, 61(6), e70182

11/2026

Critical Access Hospitals · Healthcare business and finance · Hospitals · Medicaid · Reimbursement and payment models · Statistics and data