Medicaid expansion associated with no change in emergency department use across racial and ethnic groups. (Health Serv Res)
Summary: A study has found that there was no significant change in the rate of emergency department (ED) visits among Black, Hispanic, and White adults following the Medicaid expansion provided by the Affordable Care Act (ACA).
The study looked at ED visit rates and volume in expansion and non-expansion states between 2010 and 2018 and found no change in hospitalization share of ED visits or ED visit volumes.
However, there was an 11.7% increase in the Medicaid share of Hispanic adults, suggesting that eligibility expansions may not change ED use, especially among minorities. These findings have implications for future Medicaid policy decisions.
Healthcare Access for a Diverse Population with Schizophrenia Following the Onset of the COVID-19 Pandemic. (Community Ment Health J)
Summary: The study examines the impact of the COVID-19 pandemic on New York State's Medicaid beneficiaries with schizophrenia, with a focus on healthcare access equity.
The researchers found racial and ethnic differences in healthcare outcomes between white and non-white beneficiaries, with most differences remaining stable over time.
The Association of Childbirth with Medical Debt in the USA, 2019-2020. (J Gen Intern Med)
Summary: This study examined the association between childbirth and medical debt in the USA, and the correlates of medical debt among postpartum women.
The findings suggest that postpartum women experience higher levels of medical debt than other women, and poorer women and those with common chronic diseases may have an even higher burden.
Health services use among formerly incarcerated Louisiana Medicaid members within one year of release. (PLoS One)
Summary: A retrospective cohort study was conducted to determine the association between enrollment in Medicaid prior to release as compared to post-release and the use of health services among Louisiana Medicaid members within one year of release from Louisiana state
corrections custody. The study found that pre-release Medicaid enrollment was associated with higher proportions of and faster access to a variety of health services.
Changes in Cancer Mortality after Medicaid Expansion and the Role of Stage at Diagnosis. (J Natl Cancer Inst)
Summary: The study found that Medicaid expansion was associated with decreases in both distant stage cancer incidence and cancer mortality rates, particularly for breast, cervix, and liver cancers.
The results suggest that Medicaid expansion may have decreased population-level cancer mortality rates, with about 60% of the expansion-associated changes in cancer mortality being mediated by distant stage diagnoses.
Patterns of Health Care Access and Use in an Urban American Indian and Alaska Native Population. (J Racial Ethn Health Disparities)
Summary: The study examined data from a cross-sectional survey of American Indian and Alaska Native (AIAN) populations in Los Angeles County, using purposive sampling to strategically identify a larger eligible pool.
The study found that AIANs who were enrolled in a tribe were more likely to access the Indian Health Service (IHS) compared to those who were not enrolled.
State Medicaid and private telemedicine coverage requirements and telemedicine use, 2013-2019. (Health Serv Res)
Summary: The study examined the association between state Medicaid and private telemedicine coverage requirements and telemedicine use.
The results indicate that Medicaid telemedicine coverage during 2013-2019 was associated with significant and meaningful increases in telemedicine use and health care access.