Effects of Medicaid expansion on access, treatment and outcomes for patients with acute myocardial infarction.

ABSTRACT:

Introduction

Uninsured patients have decreased access to care, lower rates of percutaneous coronary intervention (PCI), and worse outcomes after acute myocardial infarction (AMI). The aim of this study was to determine whether expanding insurance coverage through the Affordable Care Act's expansion of Medicaid eligibility affected access to PCI hospitals, rates of PCI, 30-day readmissions, and in-hospital mortality after AMI.

Methods

Quasi-experimental, difference-in-differences analysis of Medicaid and uninsured patients with acute myocardial infarction in California, which expanded Medicaid through the Affordable Care Act, and Florida, which did not, from 2010-2015. This study accounts for the early expansion of Medicaid in certain California counties that began as early a

SUBMITTER: Valdovinos EM 

PROVIDER: S-EPMC7179915 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature