Medicaid Expansion and Incidence of Kidney Failure among Nonelderly Adults.

ABSTRACT:

Background

Low-income individuals without health insurance have limited access to health care. Medicaid expansions may reduce kidney failure incidence by improving access to chronic disease care.

Methods

Using a difference-in-differences analysis, we examined the association between Medicaid expansion status under the Affordable Care Act (ACA) and the kidney failure incidence rate among all nonelderly adults, aged 19-64 years, in the United States, from 2012 through 2018. We compared changes in kidney failure incidence in states that implemented Medicaid expansions with concurrent changes in nonexpansion states during pre-expansion, early postexpansion (years 2 and 3 postexpansion), and later postexpansion (years 4 and 5 postexpansion).

Results

The unadjusted kidney f

SUBMITTER: Thorsness R 

PROVIDER: S-EPMC8259656 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature