Evaluating the early impact of Medicaid expansion on trends in diagnosis and treatment of benign gallbladder disease in Kentucky

In January 2014, Kentucky expanded Medicaid coverage in an effort to improve access to healthcare. This study evaluated the early impact of Medicaid expansion on diagnosis and treatment of benign gallbladder disease in Kentucky. Administrative claims data were queried for patients undergoing cholecy...

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Bibliographic Details
Published in:The American journal of surgery 2019-09, Vol.218 (3), p.584-589
Main Authors: Bhutiani, N., Harbrecht, B.G., Scoggins, C.R., Bozeman, M.C.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Benign
Cholecystectomy
Delivery of Health Care - trends
Demographic variables
Demographics
Diagnosis
Expansion
Gallbladder
Gallbladder diseases
Gallbladder Diseases - diagnosis
Gallbladder Diseases - surgery
Government programs
Health care policy
Health policy
Hospitals
Humans
Indigent care
Kentucky
Laparoscopy
Medicaid
Medicaid - organization & administration
Medical diagnosis
Medical treatment
Middle Aged
Patient Protection & Affordable Care Act 2010-US
Patients
Retrospective Studies
Time Factors
Trends
United States
Variables
Young Adult
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Summary:In January 2014, Kentucky expanded Medicaid coverage in an effort to improve access to healthcare. This study evaluated the early impact of Medicaid expansion on diagnosis and treatment of benign gallbladder disease in Kentucky. Administrative claims data were queried for patients undergoing cholecystectomy for benign gallbladder disease between 2011 and 2015. Demographic, procedure, and outcome variables from 2011 to 2013 (PRE) and 2014–2015 (POST) were compared. After Medicaid expansion, patients were more likely to have their operation performed as an outpatient (80.0% vs. 78.2%, p 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2019.01.013