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Outpatient Services Under PPACA

HealthLeaders magazine, February 13, 2014

The Patient Protection and Affordable Care Act will affect the volume of outpatient procedures in all ambulatory care settings. With respect to Medicaid, not all states have opted in to that expansion under PPACA, but according to a Truven Health Analytics™ forecast, if all states do opt in to the expansion of Medicaid, the number of projected outpatient procedures (all payers) would be about 101 billion over the next 10 years, about 2 billion more than the number projected under the current environment (which accounts for states that have opted in or out). In this report, we'll examine the implications for six states: Florida and Texas, which have opted out; and California, Illinois, Massachusetts, and Michigan, which have opted in.

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