Association of Medicaid Expansion With 1-Year Mortality Among Patients With End-Stage Renal Disease.

ABSTRACT:

Importance

The Affordable Care Act Medicaid expansion may be associated with reduced mortality, but evidence to date is limited. Patients with end-stage renal disease (ESRD) are a high-risk group that may be particularly affected by Medicaid expansion.

Objective

To examine the association of Medicaid expansion with 1-year mortality among nonelderly patients with ESRD initiating dialysis.

Design, setting, and participants

Difference-in-differences analysis of nonelderly patients initiating dialysis in Medicaid expansion and nonexpansion states from January 2011 to March 2017.

Exposure

Living in a Medicaid expansion state.

Main outcomes and measures

The primary outcome was 1-year mortality. Secondary outcomes were insurance, predialysis nephrology care, an

SUBMITTER: Swaminathan S 

PROVIDER: S-EPMC6417808 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature