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TUESDAY, Sept. 4, 2018 (HealthDay News) — States that expanded Medicaid had a greater reduction in the proportion of uninsured hospitalizations for major cardiovascular events, according to a study published online Aug. 24 in JAMA Network Open<\/i>.<\/p>\n
Ehimare Akhabue, M.D., from the Northwestern University Feinberg School of Medicine in Chicago, and colleagues compared the mean payer mix proportions and in-hospital mortality for expansion and non-expansion states for 2009 to 2013 (preceding the Affordable Care Act [ACA] Medicaid expansion) and 2014 (the year after expansion).<\/p>\n
The researchers found that there were 801,819 hospitalizations in the 17 expansion states in 2014 and 719,459 in the 13 non-expansion states. In 2014, there were 281,184 non-Medicare hospitalizations for major cardiovascular events in the 17 expansion states and 243,664 in the 13 non-expansion states. Compared with non-expansion states, the expansion states had a significant 5.8-percentage-point decrease in the proportion of uninsured hospitalizations after Medicaid expansion. Also relative to non-expansion states, the expansion states had a significant 8.4 percentage-point increase in the Medicaid share. There was no significant change in in-hospital mortality after Medicaid expansion in expansion states (3.8 versus 3.7 percent before and after ACA) or the non-expansion states (4 versus 4 percent before and after ACA).<\/p>\n
“States that expanded Medicaid during the ACA implementation had a significantly greater reduction in the proportion of uninsured hospitalizations for major cardiovascular events compared with the nonexpansion states,” the authors write.<\/p>\n
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