Impact of Medicaid Expansion on Cardiac Surgery Volume and Outcomes.

ABSTRACT:

Background

Thirty-one states approved Medicaid expansion after implementation of the Affordable Care Act. The objective of this study was to evaluate the effect of Medicaid expansion on cardiac surgery volume and outcomes comparing one state that expanded to one that did not.

Methods

Data from the Virginia (nonexpansion state) Cardiac Services Quality Initiative and the Michigan (expanded Medicaid, April 2014) Society of Thoracic and Cardiovascular Surgeons Quality Collaborative were analyzed to identify uninsured and Medicaid patients undergoing coronary bypass graft or valve operations, or both. Demographics, operative details, predicted risk scores, and morbidity and mortality rates, stratified by state and compared across era (preexpansion: 18 months before vs postexpans

SUBMITTER: Charles EJ 

PROVIDER: S-EPMC5610068 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature