Evidence map›Paper›PMID 41613617›Full record

ArticleHealth affairs scholar2026

Unwinding of Medicaid enrollment and increased uninsured emergency department visits in California.

Nima Khodakarami, Theodoros V Giannouchos, Daniel Marthey, Benjamin Ukert, Joel Segel, Laura Dague

Abstract read
In one paragraph

Article in Health affairs scholar, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nima KhodakaramiDepartment of Health Policy and Administration, Penn State University, Monaca, PA 15061, United States.ORCID https://orcid.org/0000-0003-4728-4760
Theodoros V GiannouchosDepartment of Health Policy and Organization, School of Public Health, the University of Alabama at Birmingham, Birmingham, AL 35294, United States.ORCID https://orcid.org/0000-0002-1574-6767
Daniel MartheyDepartment of Health Policy and Management, School of Public Health, Texas A&M University, College Station, TX 77843, United States.ORCID https://orcid.org/0000-0002-1440-3068
Benjamin UkertDepartment of Health Policy and Management, School of Public Health, Texas A&M University, College Station, TX 77843, United States.ORCID https://orcid.org/0000-0002-2337-9573
Joel SegelDepartment of Health Policy and Administration, Penn State University, University Park, PA 16802, United States.ORCID https://orcid.org/0000-0001-8937-0531
Laura DagueDepartment of Public Service and Administration, Bush School of Government and Public Service, Texas A&M University, College Station, TX 77845, United States.ORCID https://orcid.org/0000-0002-8139-0439

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To examine the association between post-pandemic era Medicaid eligibility redeterminations ("unwinding") and emergency department (ED) payer mix in California. Methods: We conducted a retrospective secondary analysis of California's quarterly ED visit data (2021-2024) across 281 general acute-care hospitals, using interrupted time-series analysis. Results: During unwinding, Medicaid ED visits declined by 0.37 percentage points (pp) and uninsured ED visits increased by 0.16 pp per quarter ( Conclusion: Medicaid unwinding was associated with a decline in Medicaid ED visits and a corresponding increase in uninsured ED visits, with varying impacts across hospital types in California.

Indexed as

acute careCaliforniacritical access hospitalsemergency departmenthospital ownershipinsurance coverageMedicaid unwindingrural hospitalssafety netuncompensated careuninsured

Identifiers

PMID41613617
PMCPMC12849369

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.