2019
Association of Medicaid Expansion With Access to Rehabilitative Care in Adult Trauma Patients
Zogg CK, Scott JW, Metcalfe D, Gluck AR, Curfman GD, Davis KA, Dimick JB, Haider AH. Association of Medicaid Expansion With Access to Rehabilitative Care in Adult Trauma Patients. JAMA Surgery 2019, 154: 402-411. PMID: 30601888, PMCID: PMC6537775, DOI: 10.1001/jamasurg.2018.5177.Peer-Reviewed Original ResearchConceptsAdult trauma patientsTrauma patientsMedicaid expansionNonexpansion statesInsurance coverageAffordable Care ActExpansion statesPatient ProtectionInpatient rehabilitation facilityCare ActSkilled nursing facilitiesMedicaid expansion statesSex-based disparitiesHome health agenciesRace/ethnicityPostdischarge careTrauma populationFunctional outcomeRehabilitation gainsLeading causeRehabilitative careTrauma outcomesMAIN OUTCOMENursing facilitiesRehabilitation facilityChanges in Discharge to Rehabilitation: Potential Unintended Consequences of Medicare Total Hip Arthroplasty/Total Knee Arthroplasty Bundled Payments, Should They Be Implemented on a Nationwide Scale?
Zogg CK, Falvey JR, Dimick JB, Haider AH, Davis KA, Grauer JN. Changes in Discharge to Rehabilitation: Potential Unintended Consequences of Medicare Total Hip Arthroplasty/Total Knee Arthroplasty Bundled Payments, Should They Be Implemented on a Nationwide Scale? The Journal Of Arthroplasty 2019, 34: 1058-1065.e4. PMID: 30878508, PMCID: PMC6884960, DOI: 10.1016/j.arth.2019.01.068.Peer-Reviewed Original ResearchMeSH KeywordsAgedArthroplasty, Replacement, HipArthroplasty, Replacement, KneeComputer SimulationDecision TreesElective Surgical ProceduresHumansMedicareMiddle AgedMonte Carlo MethodPatient DischargePatient Protection and Affordable Care ActPatient ReadmissionQuality of LifeRehabilitationReimbursement MechanismsSkilled Nursing FacilitiesUnited StatesConceptsExtent of therapyHealth-related qualityType of rehabilitationFunctional recoveryPatients' health-related qualitySkilled nursing facility useElective total hipPrimary TKA patientsOutcomes of patientsPatient-centered outcomesPatients' functional recoveryInpatient rehabilitation facilityNursing facility useEpisode of careAverage functional outcomeBundled payment programsDischarge dispositionTKA patientsUnplanned readmissionTotal hipFunctional outcomeAffordable Care ActOutcome measuresRehabilitation facilityBundled PaymentsImpact of Affordable Care Act–related insurance expansion policies on mortality and access to post-discharge care for trauma patients
Scott JW, Neiman PU, Uribe-Leitz T, Scott KW, Zogg CK, Salim A, Haider AH. Impact of Affordable Care Act–related insurance expansion policies on mortality and access to post-discharge care for trauma patients. Journal Of Trauma And Acute Care Surgery 2019, 86: 196-205. PMID: 30694984, DOI: 10.1097/ta.0000000000002117.Peer-Reviewed Original ResearchConceptsPost-discharge careTrauma patientsInpatient mortalityPost-acute careAffordable Care ActCoverage expansion policiesUninsured ratePost-acute care facilitiesState-level Medicaid expansionMedicaid expansionNational Trauma Data BankPolicy-associated changesAdult trauma patientsTrauma Data BankPost-acute servicesUninsured trauma patientsCare ActHome health servicesInsurance coverage expansionCoverage expansionPost-policy periodPatients 18Discharge dispositionPatient demographicsInjury characteristics
2018
Impact of Affordable Care Act Insurance Expansion on Pre-Hospital Access to Care: Changes in Adult Perforated Appendix Admission Rates after Medicaid Expansion and the Dependent Coverage Provision
Zogg CK, Scott JW, Bhulani N, Gluck AR, Curfman GD, Davis KA, Dimick JB, Haider AH. Impact of Affordable Care Act Insurance Expansion on Pre-Hospital Access to Care: Changes in Adult Perforated Appendix Admission Rates after Medicaid Expansion and the Dependent Coverage Provision. Journal Of The American College Of Surgeons 2018, 228: 29-43.e1. PMID: 30359835, DOI: 10.1016/j.jamcollsurg.2018.09.022.Peer-Reviewed Original ResearchConceptsMedicaid expansionAffordable Care ActAdmission ratesPerforation rateInsurance coverageAffordable Care Act's insurance expansionInsurance expansionYoung adultsAcute surgical careDependent coverage provisionBetter patient outcomesFederal poverty levelRace/ethnicityAcute appendicitisHospitalized adultsAcute careParents' insuranceInpatient claimsPatient outcomesACA's impactSurgical careRisk populationsNonexpansion statesPrivileged patientsAge 26
2016
Implications of the Patient Protection and Affordable Care Act on Insurance Coverage and Rehabilitation Use Among Young Adult Trauma Patients.
Zogg CK, Payró Chew F, Scott JW, Wolf LL, Tsai TC, Najjar P, Olufajo OA, Schneider EB, Haut ER, Haider AH, Canner JK. Implications of the Patient Protection and Affordable Care Act on Insurance Coverage and Rehabilitation Use Among Young Adult Trauma Patients. JAMA Surgery 2016, 151: e163609. PMID: 27760245, DOI: 10.1001/jamasurg.2016.3609.Peer-Reviewed Original ResearchConceptsYoung adult trauma patientsDependent coverage provisionAdult trauma patientsAffordable Care ActTrauma patientsRehabilitation useInsurance coverageClinical end pointsPatient ProtectionCare ActCause of deathComplete patient recordsHigh-quality careEmergency departmentMean ageOutpatient settingUninsured patientsPatient outcomesRisk groupsPatientsRehabilitation accessACA implementationRescue ratesPatient recordsLongitudinal assessmentImpact of ACA Insurance Coverage Expansion on Perforated Appendix Rates Among Young Adults
Scott JW, Rose JA, Tsai TC, Zogg CK, Shrime MG, Sommers BD, Salim A, Haider AH. Impact of ACA Insurance Coverage Expansion on Perforated Appendix Rates Among Young Adults. Medical Care 2016, 54: 818-826. PMID: 27367865, PMCID: PMC5468100, DOI: 10.1097/mlr.0000000000000586.Peer-Reviewed Original ResearchConceptsDependent coverage provisionAppendix ratePerforation rateYoung adultsHealth insurance plansComparator groupAcute conditionsUninsured rateYear oldsParents' health insurance plansSignificant reductionNational Inpatient SampleUrban teaching hospitalAge 26 yearsHealth care accessInsurance coverage expansionDifferences linear regressionCoverage expansionAcute appendicitisAffordable Care ActInpatient SampleTeaching hospitalCare accessRisk subpopulationsPostpolicy change