ExpandSelf-Pay Encounters Rose and Medicaid Fell Across All Care Settings from 2022 to 2026
The self-pay share of encounters rose in all four care settings studied between early 2022 and early 2026, but unevenly: the increase was steepest in the emergency department (5.5% to 7.6%), more modest for inpatient admissions (1.9% to 2.6%) and births (0.8% to 1.3%), and moved just a little in primary care (1.8% to 1.9%).



















