Comparison of Baseline Characteristics and In-hospital Outcomes in Medicaid Versus Private Insurance Hospitalizations for Atrial Fibrillation

The prevalence of atrial fibrillation (Afib) has been increasing over the past few decades. There are very few comparisons of health insurance plans available that incorporate measurement of co-morbidities and in-hospital outcomes. We sought to compare an impact of Medicaid versus private insurance...

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Bibliographic Details
Published in:The American journal of cardiology 2019-03, Vol.123 (5), p.776-781
Main Authors: Doshi, Rajkumar, Al-khafaji, Jaafar F., Dave, Mihir, Taha, Mohamed, Patel, Krunalkumar, Goyal, Hemant, Gullapalli, Nageshwara
Format: Article
Language:English
Subjects:
Age
Atrial Fibrillation - economics
Atrial Fibrillation - epidemiology
Atrial Fibrillation - therapy
Cardiac arrhythmia
Catheters
Coronary vessels
Cost estimates
Databases, Factual
Diabetes
Discharge
Female
Fibrillation
Follow-Up Studies
Gender
Government programs
Health care
Heart surgery
Hospital costs
Hospital Costs - statistics & numerical data
Hospital Mortality - trends
Hospitalization - economics
Humans
Hypertension
Incidence
Insurance
Insurance coverage
Insurance, Health - economics
Liver diseases
Male
Medicaid
Medicaid - economics
Medicare
Middle Aged
Morbidity
Mortality
Obesity
Patients
Prevalence
Retrospective Studies
Survival Rate - trends
Tobacco
United States - epidemiology
Veins & arteries
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Summary:The prevalence of atrial fibrillation (Afib) has been increasing over the past few decades. There are very few comparisons of health insurance plans available that incorporate measurement of co-morbidities and in-hospital outcomes. We sought to compare an impact of Medicaid versus private insurance (PI) on outcomes in hospitalizations with Afib. The US National Inpatient Sample database from years January 2010 to September 2015 was used to identify adult (≥18 years) Afib hospitalizations, whose payment source was either Medicaid or PI. We included propensity score-matched analysis for comparison of outcomes between the groups. In a total of 3,264,258 Afib hospitalizations, 22.9% hospitalizations were insured with Medicaid, while 77.1% had PI. Compared with PI, Medicaid beneficiaries (MB) were younger (59 vs 64 years), fewer were men (55.15% vs 63.16%), and fewer were Caucasians (52.66% vs 81.67%; all p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2018.11.045