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The Early Impact of Medicaid Expansion on Uninsured Patients Undergoing Emergency General Surgery.

A new interesting article has been published in J Surg Res. 2018 Dec;232:217-226. doi: 10.1016/j.jss.2018.06.037. Epub 2018 Jul 11. and titled:

The Early Impact of Medicaid Expansion on Uninsured Patients Undergoing Emergency General Surgery.

Authors of this article are:

Chiu AS, Jean RA, Ross JS, Pei KY.

A summary of the article is shown below:

BACKGROUND: Under the Affordable Care Act, eligibility for Medicaid coverage was expanded to all adults with incomes up to 138% of the federal poverty level in states that participated. We sought to examine the national impact Medicaid expansion has had on insurance coverage for patients undergoing emergency general surgery (EGS) and the cost burden to patients.MATERIALS AND METHODS: The National Inpatient Sample (NIS) was used to identify adults ≥18 y old who underwent the 10 most burdensome EGS operations (defined as a combination of frequency, cost, and morbidity). Distribution of insurance type before and after Medicaid expansion and charges to uninsured patients was evaluated. Weighted averages were used to produce nationally representative estimates.RESULTS: A total of 6,847,169 patients were included. The percentage of uninsured EGS patients changed from 9.4% the year before Medicaid expansion to 7.0% after (P < 0.01), whereas the percentage of patients on Medicaid increased from 16.4% to 19.4% (P < 0.01). The cumulative charges to uninsured patients for EGS decreased from $1590 million before expansion to $1211 million after.CONCLUSIONS: In the first year of Medicaid expansion, the number of uninsured EGS patients dropped by 2.4%. The cost burden to uninsured EGS patients decreased by over $300 million.Copyright © 2018 Elsevier Inc. All rights reserved.
Check out the article’s website on Pubmed for more information:

This article is a good source of information and a good way to become familiar with topics such as:

Emergency general surgery;Medicaid expansion;Uninsured


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