In Four ACA Expansion States, The Percentage Of Uninsured Hospitalizations For People With HIV Declined, 2012-14
In Four ACA Expansion States, The Percentage Of Uninsured Hospitalizations For People With HIV Declined, 2012-14
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DOI：
10.1377/hlthaff.2015.0718
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发表时间：
2015-12-01
期刊：
影响因子：
9.7
通讯作者：
Hellinger, Fred J.
中科院分区：
文献类型：
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作者：
Hellinger, Fred J.
这项研究考察了《平价医疗法案》可选的州医疗补助扩大对艾滋病毒住院患者的保险覆盖范围和健康结果的影响。我使用了医疗保健成本和利用项目的州住院患者数据库中的数据，这些数据涵盖了从2012年到2014年前六个月期间，在四个扩大了医疗补助计划的州和两个没有扩大医疗补助计划的州，艾滋病毒患者的所有住院治疗。我发现，在研究期间，未参保的艾滋病毒携带者在四个扩展州的住院率从13.7%下降到5.5%，而在两个未扩大的州，这一比例从14.5%上升到15.7%。我还发现，没有保险的艾滋病毒住院患者在住院期间死亡的可能性比有保险的同类患者高40%。
This study examines the influence of the Affordable Care Act's optional state Medicaid expansion on insurance coverage and health outcomes for hospitalized patients with HIV. I used data from the State Inpatient Databases of the Healthcare Cost and Utilization Project for all hospitalizations of patients with HIV from 2012 through the first six months of 2014 in four states that expanded their Medicaid programs and two states that did not. I found that the percentage of hospitalizations of uninsured people with HIV in the four expansion states fell from 13.7 percent to 5.5 percent in the study period, while the percentage in the two nonexpanding states increased from 14.5 percent to 15.7 percent. I also found that hospitalized patients with HIV who did not have insurance were 40 percent more likely to die during their hospital stays than comparable patients with insurance.