Literature DB >> 26874897

Medicaid beneficiaries undergoing complex surgery at quality care centers: insights into the Affordable Care Act.

Erin C Hall1, Chaoyi Zheng2, Russell C Langan1, Lynt B Johnson1, Nawar Shara3, Waddah B Al-Refaie4.   

Abstract

BACKGROUND: Medicaid beneficiaries do not have equal access to high-volume centers for complex surgical procedures. We hypothesize there is a large Medicaid Gap between those receiving emergency general vs complex surgery at the same hospital.
METHODS: Using the Nationwide Inpatient Sample, 1998 to 2010, we identified high-volume pancreatectomy hospitals. We then compared the percentage of Medicaid patients receiving appendectomies vs pancreatectomies at these hospitals. Hospital characteristics associated with increased Medicaid Gap were evaluated using generalized estimating equation models.
RESULTS: A total of 602 hospital-years of data from 289 high-volume pancreatectomy hospitals were included. Median percentages of Medicaid appendectomies and pancreatectomies were 12.1% (interquartile range: 5.8% to 19.8%) and 6.7% (interquartile range: 0% to 15.4%), respectively. Hospitals that performed greater than or equal to 40 pancreatic resections per year had higher odds of having significant Medicaid Gap (odds ratio 2.3, 95% confidence interval 1.1 to 5.0).
CONCLUSIONS: Gaps exist between the percentages of Medicaid patients receiving emergency general surgery vs more complex surgical care at the same hospital and may be exaggerated in hospitals with very high volume of complex elective surgeries.
Copyright © 2016 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  Disparities in high quality care; High volume; Medicaid access; Surgical disparities

Mesh:

Year:  2016        PMID: 26874897      PMCID: PMC5266546          DOI: 10.1016/j.amjsurg.2015.11.026

Source DB:  PubMed          Journal:  Am J Surg        ISSN: 0002-9610            Impact factor:   2.565


  38 in total

1.  Impact of state-specific Medicaid reimbursement and eligibility policies on receipt of cancer screening.

Authors:  Michael T Halpern; Melissa A Romaire; Susan G Haber; Florence K Tangka; Susan A Sabatino; David H Howard
Journal:  Cancer       Date:  2014-08-25       Impact factor: 6.860

2.  Worse outcomes among uninsured general surgery patients: does the need for an emergency operation explain these disparities?

Authors:  Diane A Schwartz; Xuan Hui; Eric B Schneider; Mays T Ali; Joseph K Canner; William R Leeper; David T Efron; Elliot Haut; Elliot R Haut; Catherine G Velopulos; Timothy M Pawlik; Adil H Haider
Journal:  Surgery       Date:  2014-06-19       Impact factor: 3.982

Review 3.  Community health center quality improvement: a systematic review and future directions for research.

Authors:  Alyna T Chien; Amy E Walters; Marshall H Chin
Journal:  Prog Community Health Partnersh       Date:  2007

4.  Insurance status is associated with acuity of presentation and outcomes for thoracic aortic operations.

Authors:  Nicholas D Andersen; J Matthew Brennan; Yue Zhao; Judson B Williams; Matthew L Williams; Peter K Smith; John E Scarborough; G Chad Hughes
Journal:  Circ Cardiovasc Qual Outcomes       Date:  2014-04-08

5.  Insurance and inpatient care: differences in length of stay and costs between surgically treated cancer patients.

Authors:  Cathy J Bradley; Bassam Dahman; Harry D Bear
Journal:  Cancer       Date:  2012-03-13       Impact factor: 6.860

6.  Inequality of access to surgical specialty health care: why children with government-funded insurance have less access than those with private insurance in Southern California.

Authors:  Edward C Wang; Meeryo C Choe; John G Meara; Jeffrey A Koempel
Journal:  Pediatrics       Date:  2004-11       Impact factor: 7.124

7.  The effect of insurance status on outcomes after partial nephrectomy.

Authors:  Al'a Abdo; Quoc-Dien Trinh; Maxine Sun; Jan Schmitges; Marco Bianchi; Jesse Sammon; Shahrokh F Shariat; Shyam Sukumar; Kevin Zorn; Claudio Jeldres; Paul Perrotte; Craig G Rogers; James O Peabody; Mani Menon; Pierre I Karakiewicz
Journal:  Int Urol Nephrol       Date:  2011-09-06       Impact factor: 2.370

8.  Exploring implications of Medicaid participation and wait times for colorectal screening on early detection efforts in Connecticut--a secret-shopper survey.

Authors:  Vatsal B Patel; Richa Nahar; Betty Murray; Andrew L Salner
Journal:  Conn Med       Date:  2013-04

9.  Quality of colon cancer outcomes in hospitals with a high percentage of Medicaid patients.

Authors:  Kim F Rhoads; Leland K Ackerson; Ashish K Jha; R Adams Dudley
Journal:  J Am Coll Surg       Date:  2008-05-19       Impact factor: 6.113

10.  Socioeconomic and racial predictors of undergoing laparoscopic hysterectomy for selected benign diseases: analysis of 341487 hysterectomies.

Authors:  Haim Arie Abenhaim; Ricardo Azziz; Jianfang Hu; Alfred Bartolucci; Togas Tulandi
Journal:  J Minim Invasive Gynecol       Date:  2008 Jan-Feb       Impact factor: 4.137

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  4 in total

1.  Why Do Long-Distance Travelers Have Improved Pancreatectomy Outcomes?

Authors:  Manila Jindal; Chaoyi Zheng; Humair S Quadri; Chukwuemeka U Ihemelandu; Young K Hong; Andrew K Smith; Vikas Dudeja; Nawar M Shara; Lynt B Johnson; Waddah B Al-Refaie
Journal:  J Am Coll Surg       Date:  2017-04-14       Impact factor: 6.113

2.  Medicaid Expansion and Disparity Reduction in Surgical Cancer Care at High-Quality Hospitals.

Authors:  David Xiao; Chaoyi Zheng; Manila Jindal; Lynt B Johnson; Thomas DeLeire; Nawar Shara; Waddah B Al-Refaie
Journal:  J Am Coll Surg       Date:  2017-10-05       Impact factor: 6.113

3.  Treatment of Acute Cholecystitis: Do Medicaid and Non-Medicaid Enrolled Patients Receive the Same Care?

Authors:  Amanda Fazzalari; Natalie Pozzi; David Alfego; Qiming Shi; Nathaniel Erskine; Gary Tourony; Jomol Mathew; Demetrius Litwin; Mitchell A Cahan
Journal:  J Gastrointest Surg       Date:  2019-12-10       Impact factor: 3.452

4.  Acceptance of Simulated Adult Patients With Medicaid Insurance Seeking Care in a Cancer Hospital for a New Cancer Diagnosis.

Authors:  Victoria A Marks; Walter R Hsiang; James Nie; Patrick Demkowicz; Waez Umer; Afash Haleem; Bayan Galal; Irene Pak; Dana Kim; Michelle C Salazar; Elizabeth R Berger; Daniel J Boffa; Michael S Leapman
Journal:  JAMA Netw Open       Date:  2022-07-01
  4 in total

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