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J Ambul Care Manage · Oct 2019
Medicaid Expansion and Hospitalization for Ambulatory Care-Sensitive Conditions Among Nonelderly Adults With Diabetes.
- Favel L Mondesir, Meredith L Kilgore, John P Shelley, Emily B Levitan, Lei Huang, Kevin R Riggs, Maria Pisu, Yufeng Li, Janet M Bronstein, April Agne, and Andrea L Cherrington.
- Department of Epidemiology (Drs Mondesir, Levitan, and Huang) and Department of Health Care Organization and Policy (Drs Kilgore and Bronstein), School of Public Health, University of Alabama at Birmingham; and Division of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham (Mr Shelley, Drs Riggs, Pisu, Li, and Cherrington, and Ms Agne). Dr Mondesir is now at Division of Cardiovascular Medicine, Department of Internal Medicine, School of Medicine, University of Utah, Salt Lake City. Mr Shelley is now at School of Medicine, Vanderbilt University, Nashville, Tennessee.
- J Ambul Care Manage. 2019 Oct 1; 42 (4): 312-320.
AbstractAmong nonelderly adults with diabetes, we compared hospitalizations for ambulatory care-sensitive conditions from 2013 (pre-Medicaid expansion) and 2014 (post-Medicaid expansion) for 13 expansion and 4 nonexpansion states using State Inpatient Databases. Medicaid expansion was associated with decreases in proportions of hospitalizations for chronic conditions (difference between 2014 and 2013 -0.17 percentage points in expansion and 0.37 in nonexpansion states, P = .04), specifically diabetes short-term complications (difference between 2014 and 2013 -0.05 percentage points in expansion and 0.21 in nonexpansion states, P = .04). Increased access to care through Medicaid expansion may improve disease management in nonelderly adults with diabetes.
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