Medicare Enrollment and Spending Among Patients Initiating Dialysis After the Affordable Care Act.

ABSTRACT:

Importance

Medicare finances health care for most US patients with end-stage kidney disease (ESKD), regardless of age. Medicare enrollment may have slowed for patients with incident ESKD who gained access to new private insurance options with the 2014 passage of the Affordable Care Act (ACA) and introduction of the ACA Marketplace.

Objective

To describe trends in public and private insurance coverage and dialysis spending among patients with incident ESKD from 2012 to 2017.

Design, setting, and participants

This serial cross-sectional study included patients 18 to 64 years old in Colorado who were not enrolled in Medicare at dialysis initiation. Data analysis was conducted from May to August 2023.

Exposure

Introduction of the ACA Marketplace in 2014.

Main ou

SUBMITTER: Wang V 

PROVIDER: S-EPMC11624581 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature