Association of State Medicaid Expansion With Rate of Uninsured Hospitalizations for Major Cardiovascular Events, 2009-2014 | Zendy

Ehimare Akhabue | Zendy; Lindsay R. Pool | Zendy; Clyde W. Yancy | Zendy; Philip Greenland | Zendy; Donald M. LloydJones | Zendy

Open Access

Association of State Medicaid Expansion With Rate of Uninsured Hospitalizations for Major Cardiovascular Events, 2009-2014

Author(s) -

Ehimare Akhabue,

Lindsay R. Pool,

Clyde W. Yancy,

Philip Greenland,

Donald M. LloydJones

Publication year - 2018

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2018.1296

Subject(s) - medicaid , association (psychology) , medicine , state (computer science) , demography , gerontology , psychology , economics , health care , economic growth , computer science , sociology , algorithm , psychotherapist

Key Points Question Did uninsured hospitalizations for major cardiovascular events and in-hospital mortality vary by state-level policy decisions on the implementation of the Affordable Care Act Medicaid expansion? Findings In this cohort study, difference-in-differences analysis of more than 3 million non-Medicare hospitalizations from the inpatient databases of 30 states found that expansion states had a significant reduction in the proportion of uninsured hospitalizations for major cardiovascular events within 1 year of Affordable Care Act Medicaid expansion compared with nonexpansion states. There were no changes in in-hospital mortality rates in expansion or nonexpansion states. Meaning Further research is necessary to determine how state-level policy regarding Medicaid expansion could differentially affect cardiovascular outcomes.

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