Urban Institute

About: Urban Institute is a nonprofit organization based out in Washington D.C., District of Columbia, United States. It is known for research contribution in the topics: Medicaid & Population. The organization has 927 authors who have published 2330 publications receiving 86426 citations.

Assessing Access To Care Under Medicaid: Evidence For The Nation And Thirteen States

Abstract: This study examined how the Medicaid program is providing access to beneficiaries, using the level of access available to low-income privately insured people in the local health care market as the benchmark. The analysis, which focused on ambulatory care measures, was done for the nation as a whole and for thirteen individual states. The researchers concluded that, on balance, Medicaid beneficiaries fared no worse than their low-income privately insured peers in most of the states examined. (Coughlin, Teresa A., Long, Sharon K., Shen, Yu-Chu. July/August 2005. Assessing Access to Care Under Medicaid: Evidence for the Nation and Thirteen States. Health Affairs 24(4): 1073-1083.)

Changes in hospital performance after ownership conversions.

Abstract: This paper examines the effects of ownership conversions on hospital performance between 1987 and 1998 in areas of financial performance, staffing, capacity, and unprofitable care. Conversions to government and for-profit ownership both increased the profit margin: the former due to rising revenue, and the latter due to reduced operating costs and rising revenue. Hospitals that converted to for-profit ownership had the greatest reduction in staffing relative to other converted hospitals. There was little change in bed capacity after conversion to for-profit status, but some reductions in bed capacity after conversion to government or nonprofit status. No conversion of any kind led to a reduced amount of unprofitable care, but conversion to private ownership (nonprofit and for-profit) increased the probability of trauma center closures.