Cutting Insurance Eligibility Ups Peds Hospitalization Cost Burden

Share this content:
Cutting Insurance Eligibility Ups Peds Hospitalization Cost Burden
Cutting Insurance Eligibility Ups Peds Hospitalization Cost Burden

FRIDAY, July 13, 2018 (HealthDay News) -- Reducing public insurance (Medicaid and the Children's Health Insurance Program) income eligibility limits would result in large numbers of newly ineligible pediatric hospitalizations, according to a study published online July 9 in Pediatrics.

Jessica L. Bettenhausen, M.D., from the University of Missouri-Kansas City, and colleagues conducted a retrospective cohort study using the 2014 State Inpatient Databases for all pediatric (age, <18) hospitalizations in 14 states. Each patient's zip code was linked to the American Community Survey to ascertain the likelihood of the patient being below three different public insurance income eligibility thresholds (300, 200, and 100 percent of the federal poverty level [FPL]).

The researchers found that reductions in eligibility limits to 300, 200, and 100 percent of the FPL would have resulted in large numbers of newly ineligible hospitalizations (20, 57, and 84 percent of hospitalizations, respectively), corresponding to $1.2, $3.1, and $4.4 billion of estimated child hospitalization costs among 775,460 publicly reimbursed hospitalizations in 14 states. Only slight differences were seen in patient demographics under each eligibility threshold.

"Reducing public insurance eligibility limits would have resulted in numerous pediatric hospitalizations not covered by public insurance, shifting costs to families, other insurers, or hospitals," the authors write. "Without adequately subsidized commercial insurance, this reflects a potentially substantial economic hardship for families and hospitals serving them."

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Access to In-Home Support Soon to Be Available for Seniors

Access to In-Home Support Soon to Be Available ...

Under Medicare Advantage, a health-related reason will be needed to qualify; costs will vary

USPSTF Recommends Screening Adults for Unhealthy Alcohol Use

USPSTF Recommends Screening Adults for Unhealthy Alcohol Use

Recommendation applies to all adults, including pregnant women; insufficient evidence for teens

AHA: Icosapent Ethyl Cuts CV Risk From Elevated Triglycerides

AHA: Icosapent Ethyl Cuts CV Risk From Elevated ...

Ischemic events reduced among patients with elevated triglycerides despite taking statins

is free, fast, and customized just for you!




Already a member?

Sign In Now »