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Evaluating the impact of the Medicaid expansion program on diabetes hospitalization.
- Source :
-
Journal of Public Health Policy . Mar2024, Vol. 45 Issue 1, p86-99. 14p. - Publication Year :
- 2024
-
Abstract
- Diabetes is the most expensive chronic disease in the United States, and hospital inpatient care accounts for 30% of the total medical expenditures. Medical costs for people with limited resources are covered by Medicaid, a joint federal and state program, and its expansion that extent the coverage to those with incomes up to 138% of the federal poverty level. We investigated the impact of Medicaid expansion on diabetes hospitalizations by states and payer, among adults aged 19 to 64 years old, 5 years after the expansion. We found that Medicaid expansion decreased total diabetes hospitalization in most states and a diabetes hospitalization payer mix shifted from private insurance and uninsured to Medicaid. The percentage of diabetes hospitalizations paid by Medicaid increased by 11% (95% CI 7%, 16%), while the percentage paid by private insurance decreased by 6% (95% CI − 8%, − 3%) and the percentage of uninsured diabetes hospitalization decreased by 13% (95% CI − 18%, − 9%). [ABSTRACT FROM AUTHOR]
- Subjects :
- *MEDICAID
*HOSPITAL care
*MEDICAL care costs
*INPATIENT care
*DIABETES
*INCOME
Subjects
Details
- Language :
- English
- ISSN :
- 01975897
- Volume :
- 45
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Journal of Public Health Policy
- Publication Type :
- Academic Journal
- Accession number :
- 175931708
- Full Text :
- https://doi.org/10.1057/s41271-023-00463-0