Lung transplantation and Affordable Care Act Medicaid expansion in the era of lung allocation score - a retrospective study

Transplant International : Official Journal of the European Society for Organ Transplantation
J W Awori HayangaGhulam Abbas

Abstract

This study evaluated the impact of Medicaid eligibility expansion (ME) on lung transplant (LT) listings and Medicaid coverage. Data on LT candidates aged 18-64 were obtained from the Scientific Registry of Transplant Recipients (N = 9153). The impact of ME was evaluated by comparing LT listings in 2011-2013 with listings in 2014-2016, as well as comparing states that had and had not adopted ME in 2014. LT listings increased by 7.7% nationally post-ME. In ME states, LT listings increased by 15.2%, whereas nonexpansion states decreased by 1.5%. LT candidates with Medicaid increased after ME nationally (8.3% vs. 9.9%, P = 0.006) and in ME states (9.7% vs. 11.5%, P = 0.036), but not in nonexpansion states (6.6% vs. 7.7%, P = 0.170). Following multivariable adjustment, LT listings in ME states had 58% greater odds for Medicaid compared to nonexpansion states (P < 0.001). Expansion of Medicaid provided greater healthcare access and increased LT listings, but only within states that adopted eligibility expansion.

References

May 30, 2009·Journal of the American College of Surgeons·Awori Jeremiah HayangaDavid Chang
Aug 4, 2009·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·C L BryceM S Roberts
May 20, 2016·American Journal of Public Health·Kevin H Nguyen, Benjamin D Sommers
May 23, 2017·Journal of the American College of Surgeons·Dmitry TuminSylvester M Black
Jul 10, 2017·The Annals of Thoracic Surgery·J W Awori HayangaJonathan D'Cunha

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Citations

Aug 21, 2019·Transplant International : Official Journal of the European Society for Organ Transplantation·J W Awori HayangaHeather K Hayanga

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