Association between Medicaid Expansion under the Affordable Care Act and Preemptive Listings for Kidney Transplantation.

ABSTRACT:

Background and objectives

Before 2014, low-income individuals in the United States with non-dialysis-dependent CKD had fewer options to attain health insurance, limiting their opportunities to be preemptively wait-listed for kidney transplantation. We examined whether expanding Medicaid under the Affordable Care Act was associated with differences in the number of individuals who were pre-emptively wait-listed with Medicaid coverage.

Design, setting, participants, & measurements

Using the United Network of Organ Sharing database, we performed a retrospective observational study of adults (age≥18 years) listed for kidney transplantation before dialysis dependence between January 1, 2011-December 31, 2013 (pre-Medicaid expansion) and January 1, 2014-December 31, 2016 (post-Med

SUBMITTER: Harhay MN 

PROVIDER: S-EPMC6032587 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature