Does Medicaid Insurance Provide Sufficient Access to Pediatric Orthopedic Care Under the Affordable Care Act?

Global Pediatric Health
Jenny NguyenDaniel H Wiznia

Abstract

The Patient Protection and Affordable Care Act had a profound impact on health insurance coverage of children. Given the importance of pediatric specialty care, this study assessed access to pediatric orthopedic urgent care for a child's likely operative distal radius fracture. Researchers called 180 pediatric orthopedic surgeons in 8 states requesting appointments for the caller's fictitious 11-year-old child who suffered a distal radius fracture. Each office was called twice to assess the ability to obtain an appointment for Medicaid and privately insured patients. Overall, significantly fewer offices scheduled appointments for Medicaid than privately insured patients (38.3% vs 82.8%, P < .001). Patients with Medicaid in states without Medicaid expansion were more successful in obtaining appointments than patients with Medicaid in states with Medicaid expansion (41 [47%] vs 28 [30%]; P < .001; 95% confidence interval = 0.3-0.9). Pediatric Medicaid patients experienced reduced access to care, and this access was worse in states that had expanded Medicaid eligibility.

References

May 4, 2006·Journal of Pediatric Orthopedics·David L SkaggsMichael G Vitale
Jun 17, 2011·The New England Journal of Medicine·Joanna Bisgaier, Karin V Rhodes
Sep 17, 2011·The Journal of Pediatrics·Coleen S SabatiniDavid L Skaggs
Mar 14, 2012·Journal of Pediatric Orthopedics·Tiffanie R PierceDavid L Skaggs
Mar 12, 2013·Journal of the American Academy of Dermatology·Sofia B ChaudhryElaine Siegfried
May 28, 2013·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Mary L Chesney, Karen G Duderstadt
Jul 3, 2013·Journal of Pediatric Orthopedics·Christopher IobstDavid L Skaggs
Feb 26, 2016·The Journal of Hand Surgery·Chang-Yeon KimRichard R Pelker
Mar 31, 2016·Foot & Ankle International·Chang-Yeon KimRichard R Pelker

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Citations

Sep 7, 2019·Clinical Orthopaedics and Related Research·Daniel H WizniaSaid A Ibrahim
Nov 15, 2019·Clinical Orthopaedics and Related Research·Jason D YoungAndrew J Schoenfeld
Jun 12, 2021·Clinical Orthopaedics and Related Research·Laurie C YousmanDaniel H Wiznia

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