This comes out of a Modern Healthcare magazine’s yearlong analysis of fiscal 2014 finances for hospitals across America  to determine how the ACA’s Medicaid expansion has affected revenue and operating margins. This project is supported by a fellowship from the Association of Healthcare Journalists and the Commonwealth Fund.

This article notes that the “states that have not expanded Medicaid may have the most to lose if the U.S. Supreme Court this month in King v. Burwell strikes down premium subsidies in states using the federal insurance exchange. That likely would cause millions of people to drop their private exchange coverage.  In the hundreds of earnings reports included in Modern Healthcare’s analysis, a number of other themes also emerged: The economy is improving, stronger hospitals are buying weaker ones and hospitals are negotiating better rates from commercial insurers. Those factors are boosting operating margins even without the additional benefit from healthcare reform.”