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Example sentences for: prwora
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Ideally, such research would compare the costs before and after 1996 of the nonemergency care that hospitals provided (both as charity care and as bad debt) to the category of immigrants who lost nonemergency Medicaid eligibility due to the implementation of PRWORA.
Because a patient's immigration status is not recorded concomitantly with hospital resource use in any hospital, state, or federal database, it is not currently possible to isolate charity care and bad debt expenditures on nonreimbursed services for patients whose eligibility for Medicaid has been changed by PRWORA.
However, the foreign-born noncitizen category used in Census data (defined as any person not born a citizen of the United States and not naturalized) includes categories of persons exempted from PRWORA's Medicaid cuts, such as asylum seekers and refugees.
A state's decision to implement PRWORA did not independently predict uncompensated care expenditures in our model.
Existing studies of trends in uncompensated hospital care expenditures have focused primarily on supply-side covariates, such as uncompensated care pools, Medicare and Medicaid DSH payments, and the degree of competition in the local health care marketplace [ 25 28 36 39 40 ] . While a focus on such hospital characteristics has helped to elucidate the factors that affect uncompensated care at the hospital level, the present study sought to examine the impact of the PRWORA legislation by identifying state-level characteristics affecting total hospital uncompensated care per state from 1994 to 1999.
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