Impact of the Affordable Care Act's Medicaid Expansion on Tertiary, Pediatric Surgical Care
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Read the article on jpedsurg.org ↗Article · Apr 2021 · 1 min read
In brief
In brief
Study analyzing 3.27 million pediatric surgical patients (2012-2018) finds that Medicaid expansion under the ACA increased access to elective ambulatory surgery, particularly benefiting publicly-insured and ethnoracial-minority children. Research uses interrupted time series analysis to compare surgical rates between expansion and non-expansion states.
Written by the GCMD Library team from the article.
BACKGROUND
Many children gained insurance with the 2014 Affordable Care Act's (ACA) Medicaid Expansion (ME), yet its impact on access to pediatric tertiary surgical care remains unknown. We examined the effect of ME on rates of elective, ambulatory surgery (EAS), especially among publicly-insured and ethnoracial-minority patients.
METHODS
Surgical patients ≤18 years between 2012-2018 were identified using the Pediatric Health Information System. Interrupted time series analyses were conducted to predict the monthly proportion of publicly-insured patients and EAS rates in ME and nonexpansion states.
RESULTS
3,270,842 patients were included. Nonexpansion states demonstrated a 1.10% (p