| Autor: |
Khatana SAM; Sameed Ahmed M. Khatana (sameed.khatana@pennmedicine.upenn.edu), University of Pennsylvania and Corporal Michael J. Crescenz Veterans Affairs (VA) Medical Center, Philadelphia, Pennsylvania., Yang L; Lin Yang, University of Pennsylvania., Eberly LA; Lauren A. Eberly, University of Pennsylvania., Nathan AS; Ashwin S. Nathan, University of Pennsylvania., Gupta R; Ravi Gupta, Johns Hopkins University, Baltimore, Maryland., Lorch SA; Scott A. Lorch, University of Pennsylvania and Children's Hospital of Philadelphia, Philadelphia, Pennsylvania., Groeneveld PW; Peter W. Groeneveld, University of Pennsylvania and Corporal Michael J. Crescenz VA Medical Center. |
| Abstrakt: |
Adults with lower socioeconomic status have a disproportionately higher burden of cardiovascular disease. Medicaid expansion under the Affordable Care Act, which went into effect January 1, 2014, in adopting states, led to an expansion of health insurance coverage for low-income adults. To understand whether Medicaid expansion was associated with increased access to outpatient cardiovascular care in expansion states, we examined Medicaid Analytic eXtract administrative claims data for nonelderly adult beneficiaries from the period 2012-15 for two states that expanded Medicaid eligibility (New Jersey and Minnesota) and two states that did not (Georgia and Tennessee) and calculated population-level rates of cardiovascular care use. There was a 38.1 percent greater increase in expansion states in the rate of beneficiaries with outpatient visits for cardiovascular disease management associated with Medicaid expansion relative to nonexpansion states. This was accompanied by a 42.9 percent greater increase in the prescription rate for cardiovascular disease management agents. These results suggest that expansion of Medicaid eligibility was associated with an increase in cardiovascular care use among low-income nonelderly adults in expansion states. |
