Comparison of Management and Outcomes of Acute Heart Failure Hospitalization in Medicaid Beneficiaries Versus Privately Insured Individuals

The American Journal of Cardiology
Samarthkumar ThakkarRajkumar Doshi

Abstract

Medicaid expansion in terms of its eligibility and federal funding has led to improved healthcare access in previously uninsured individuals. However, proposed lower Medicaid rates have unintentionally led to lower utilization of substantial life-saving therapies and poor outcomes compared with private insurance. We examined heart failure (HF) management, in-hospital mortality, and resource utilization in Medicaid and privately insured individuals hospitalized with HF. The authors screened the National Inpatient Sample from January 2012 to September 2015 for HF hospitalizations with Medicaid or private insurance as the primary payer. The authors identified a total of 226,265 and 292,070 patients with HF hospitalizations with Medicaid and private insurance, respectively. In propensity-matched cohort of 155,790 hospitalizations in each group, Medicaid beneficiaries with HF hospitalization had lower rates of intra-aortic balloon pump/left ventricular assist device/extracorporeal membrane oxygenation utilization (0.6 vs 0.9%; odds ratio [OR] 0.64; 95% confidence interval [CI] 0.59 to 0.69), heart transplantation (0.15 vs 0.44%; OR 0.35; 95% CI 0.30 to 0.40), implantable cardioverter-defibrillator/cardiac resynchronization therapy/p...Continue Reading

References

Sep 24, 2011·Journal of the American College of Cardiology·John R KapoorGregg C Fonarow
Jun 16, 2018·Clinical Transplantation·Sarah Streeter HutchesonAlanna A Morris
Feb 1, 2019·Circulation·Emelia J BenjaminUNKNOWN American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee
May 31, 2019·Journal of the American College of Cardiology·Peter van der MeerG William Dec
Aug 5, 2019·The Journal of Surgical Research·Afshin EhsanWaddah B Al-Refaie

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Citations

Dec 29, 2020·Heart & Lung : the Journal of Critical Care·Rajkumar DoshiSaraschandra Vallabhajosyula
Dec 23, 2020·The American Journal of Cardiology·Samarthkumar ThakkarAbhishek Deshmukh

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