Medicaid Expansion and Hospitalization for Ambulatory Care-Sensitive Conditions among Nonelderly Adults with Diabetes

Academic Article

Abstract

  • Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved. Among 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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    Digital Object Identifier (doi)

    Author List

  • Mondesir FL; Kilgore ML; Shelley JP; Levitan EB; Huang L; Riggs KR; Pisu M; Li Y; Bronstein JM; Agne A
  • Start Page

  • 312
  • End Page

  • 320
  • Volume

  • 42
  • Issue

  • 4