{"id":87622,"date":"2018-01-27T08:11:45","date_gmt":"2018-01-27T08:11:45","guid":{"rendered":"http:\/\/healthmedicinet.com\/news\/acas-medicaid-expansion-associated-with-greater-likelihood-of-patients-receiving-optimal-care-for-serious-surgical-conditions\/"},"modified":"2018-01-27T08:11:45","modified_gmt":"2018-01-27T08:11:45","slug":"acas-medicaid-expansion-associated-with-greater-likelihood-of-patients-receiving-optimal-care-for-serious-surgical-conditions","status":"publish","type":"post","link":"http:\/\/healthmedicinet.com\/news\/acas-medicaid-expansion-associated-with-greater-likelihood-of-patients-receiving-optimal-care-for-serious-surgical-conditions\/","title":{"rendered":"ACA&#8217;s Medicaid Expansion Associated with Greater Likelihood of Patients Receiving Optimal Care for Serious Surgical Conditions"},"content":{"rendered":"<p>  Medicine, Health Care<\/a>  ACA&#8217;s Medicaid Expansion Associated with\u2026<\/a> <\/a><\/a><\/a><\/a><\/p>\n<p class=\"small\">Published: January 25, 2018.<br \/>Released by JAMA Surgery<\/a>\u00a0\u00a0<\/a><\/p>\n<p><b>Bottom Line:<\/b>\u00a0The Affordable Care Act&#8217;s (ACA&#8217;s) Medicaid expansion was associated with significant increases in insurance coverage among patients with serious surgical conditions such as appendicitis or aortic aneurysm, and a greater likelihood of these patients receiving timely, optimal care.<\/p>\n<p><b>Why The Research Is Interesting:\u00a0<\/b> Lack of insurance coverage has been associated with delays in seeking care, more complicated diseases at the time of diagnosis, and a decreased likelihood of receiving optimal surgical care. The ACA&#8217;s Medicaid expansion has increased coverage among millions of low-income Americans, but its effect on care for common surgical conditions has not been known.<\/p>\n<p><b>Who and When<\/b>: 293,529 patients between the ages of 18 and 64 years with appendicitis, inflammation of the gallbladder, diverticulitis, peripheral artery disease or aortic aneurysm admitted to a hospital in 27 states that expanded Medicaid or 15 states that didn&#8217;t to compare outcomes before (2010-2013) and after Medicaid expansion (2014-2015)<\/p>\n<p><b>What (Study Measures)<\/b>: State adoption of Medicaid expansion (exposure); presentation of patients with early, uncomplicated disease and optimal surgical management of their conditions (outcomes)<\/p>\n<p><b>How (Study Design)<\/b>: This was an observational study. Researchers were not\u00a0intervening for purposes of the study and they cannot control all the natural differences that could explain study findings.<\/p>\n<p><b>Authors:<\/b> Andrew P. Loehrer, M.D., M.P.H., University of Texas MD Anderson Cancer Center, Houston, and coauthors.<\/p>\n<p><b>Results:<\/b>\u00a0 ACA&#8217;s Medicaid expansion was associated with increased insurance coverage of patients and improvement in receiving timely and optimal care for five common surgical conditions.<\/p>\n<p><b>Study Limitations:<\/b>\u00a0Data are vulnerable to coding errors and study findings may not be generalizable for other medical conditions.<\/p>\n<hr size=\"1\" \/>Chinese<\/a>\u00a0French<\/a>\u00a0German<\/a>\u00a0Italian<\/a>\u00a0Japanese<\/a>\u00a0Korean<\/a>\u00a0Portuguese<\/a>\u00a0Russian<\/a>\u00a0Spanish<\/a><\/p>\n<p \/>\n","protected":false},"excerpt":{"rendered":"<p>Medicine, Health Care ACA&#8217;s Medicaid Expansion Associated with\u2026 Published: January 25, 2018.Released by JAMA Surgery\u00a0\u00a0 Bottom Line:\u00a0The Affordable Care Act&#8217;s (ACA&#8217;s) Medicaid expansion was associated with significant increases in insurance coverage among patients with serious surgical conditions such as appendicitis or aortic aneurysm, and a greater likelihood of these patients receiving timely, optimal care. Why [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-87622","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/posts\/87622","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/comments?post=87622"}],"version-history":[{"count":0,"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/posts\/87622\/revisions"}],"wp:attachment":[{"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/media?parent=87622"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/categories?post=87622"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/healthmedicinet.com\/news\/wp-json\/wp\/v2\/tags?post=87622"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}