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Key PointsQuestionWas Medicaid expansion under the Affordable Care Act in its first year of implementation associated with improvements in insurance coverage and outcomes among young adults hospitalized for traumatic injury? FindingsIn this study, there was an 18.2% increase in Medicaid coverage and a 15.1% decrease in lack of insurance among trauma patients hospitalized across 11 Medicaid expansion states. There were no significant changes in in-hospital mortality or unplanned readmission rates, but discharge to rehabilitation increased 1.2%, a significant difference. MeaningIn this study of hospitalized young adult trauma patients, Medicaid expansion has improved insurance coverage and access to postinjury rehabilitation.
JAMA Surgery – American Medical Association
Published: Aug 6, 2018
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