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Our investigation evaluates the extent of differences in the patient’s hospital experience due to variations strategies to adopt, or not adopt, their Medicaid plans analyze patient hospital experience data for th by those states that (1) did not expand, (2) expanded Medicaid through Secti expanded Medicaid concurrent with the new ACA legislation. Our findings reveal that those states that opted out of Medicaid experience scores in 2009 on all 10 HCAHPS years over the other three state expansion strategies that expanded concurrent with the ACA implementation generally for most HCAHPS measures when compared to results indicate that their rates of growth We conclude that while there have been concerns that the satisfaction from their state’s actions, the patient experience scores in these states show that they perform better or as well as those states that expanded early, expanded under waivers, and exp legislation.

Variations in the patients’ hospital care experience by states’ strategy for Medicaid expansion: 2009-2013