ArticleHealth services research2026
Changes in Emergency Department Payer Mix Among Children Following Medicaid Unwinding in Texas.
Article in Health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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.
Who cites it
3 citing papers in PubMed.
- Children's Enrollment in Children's Health Insurance Program (CHIP) Coverage During the Medicaid Unwinding.Health services research · 2026Article
- Changes in Emergency Department Payer Mix Among Children Following Medicaid Unwinding in Texas.Health services research · 2026Article
- Unwinding of Medicaid enrollment and increased uninsured emergency department visits in California.Health affairs scholar · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine trends in children's emergency department (ED) visits' payer mix before and after Texas initiated Medicaid unwinding. STUDY SETTING AND
designWe conducted a retrospective, secondary data analysis of children's ED visits in Texas, aggregated at the facility level. We analyzed trends in ED visit payer mix before and after Texas initiated unwinding and employed an interrupted time series design to examine the association between unwinding and ED visit payer mix. DATA SOURCES AND ANALYTIC SAMPLE: We used data from the Texas Emergency Department Public Use Data Files encompassing all children's ED visits between 2021 Q2 and 2024 Q2 and included 7.6 million visits from 472 facilities. PRINCIPAL
findingsAverage quarterly visits per facility increased from 1225.2 at baseline to 1254.8 visits during the post-unwinding period (p < 0.001). The average share of quarterly Medicaid visits declined by 11.7% (-7.2 pp.; from 64.3% to 57.1%, p < 0.001) in the post- relative to the pre-unwinding period. This decline was split between a 12.5% increase in the average share of quarterly ED visits attributed to commercial plans (3.4 pp.; from 26.0% to 29.4%, p < 0.001) and a 45.2% increase in the share attributed to uninsured children (3.8 pp.; from 6.9% to 10.7%, p < 0.001).
conclusionsUnwinding was associated with decreased ED visit share for Medicaid among children, while commercial and uninsured ED visit shares increased.
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Registered trials
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