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Medicaid Expansion Reduced Uninsured Surgical Hospitalizations And Associated Catastrophic Financial Burden.

Publication ,  Journal Article
Albright, BB; Chino, F; Chino, JP; Havrilesky, LJ; Aviki, EM; Moss, HA
Published in: Health Aff (Millwood)
August 2021

An important function of health insurance is protecting enrollees from excessively burdensome charges for unanticipated medical events. Unexpected surgery can be financially catastrophic for uninsured people. By targeting the low-income uninsured population, Medicaid expansion had the potential to reduce the financial risks associated with these events. We used two data sources (state-level data for forty-four states and patient-level data for four states) to estimate the association of Medicaid expansion with uninsured surgical hospitalizations among nonelderly adults. Uninsured surgery cases were typically admitted through the emergency department-often for common emergency procedures-and 99 percent of them were estimated to be associated with financially catastrophic visit charges. We found that Medicaid expansion was associated with reductions in both the share (6.20 percent) and the population rate (7.85 per 10,000) of uninsured surgical discharges in expansion versus nonexpansion states. Our estimates suggest that in 2019 alone, adoption of Medicaid expansion in nonexpansion states could have prevented more than 50,000 incidences of catastrophic financial burden resulting from uninsured surgery.

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Published In

Health Aff (Millwood)

DOI

EISSN

1544-5208

Publication Date

August 2021

Volume

40

Issue

8

Start / End Page

1294 / 1303

Location

United States

Related Subject Headings

  • United States
  • Patient Protection and Affordable Care Act
  • Medically Uninsured
  • Medicaid
  • Insurance, Health
  • Insurance Coverage
  • Humans
  • Hospitalization
  • Health Policy & Services
  • Adult
 

Citation

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Albright, B. B., Chino, F., Chino, J. P., Havrilesky, L. J., Aviki, E. M., & Moss, H. A. (2021). Medicaid Expansion Reduced Uninsured Surgical Hospitalizations And Associated Catastrophic Financial Burden. Health Aff (Millwood), 40(8), 1294–1303. https://doi.org/10.1377/hlthaff.2020.02496
Albright, Benjamin B., Fumiko Chino, Junzo P. Chino, Laura J. Havrilesky, Emeline M. Aviki, and Haley A. Moss. “Medicaid Expansion Reduced Uninsured Surgical Hospitalizations And Associated Catastrophic Financial Burden.Health Aff (Millwood) 40, no. 8 (August 2021): 1294–1303. https://doi.org/10.1377/hlthaff.2020.02496.
Albright BB, Chino F, Chino JP, Havrilesky LJ, Aviki EM, Moss HA. Medicaid Expansion Reduced Uninsured Surgical Hospitalizations And Associated Catastrophic Financial Burden. Health Aff (Millwood). 2021 Aug;40(8):1294–303.
Albright, Benjamin B., et al. “Medicaid Expansion Reduced Uninsured Surgical Hospitalizations And Associated Catastrophic Financial Burden.Health Aff (Millwood), vol. 40, no. 8, Aug. 2021, pp. 1294–303. Pubmed, doi:10.1377/hlthaff.2020.02496.
Albright BB, Chino F, Chino JP, Havrilesky LJ, Aviki EM, Moss HA. Medicaid Expansion Reduced Uninsured Surgical Hospitalizations And Associated Catastrophic Financial Burden. Health Aff (Millwood). 2021 Aug;40(8):1294–1303.

Published In

Health Aff (Millwood)

DOI

EISSN

1544-5208

Publication Date

August 2021

Volume

40

Issue

8

Start / End Page

1294 / 1303

Location

United States

Related Subject Headings

  • United States
  • Patient Protection and Affordable Care Act
  • Medically Uninsured
  • Medicaid
  • Insurance, Health
  • Insurance Coverage
  • Humans
  • Hospitalization
  • Health Policy & Services
  • Adult