Medicaid Expansion Tied to Better Kidney Disease Survival

Share this content:
Medicaid Expansion Tied to Better Kidney Disease Survival
Medicaid Expansion Tied to Better Kidney Disease Survival

TUESDAY, Nov. 6, 2018 (HealthDay News) -- There were significant improvements in one-year survival among patients with end-stage renal disease (ESRD) initiating dialysis following Medicaid expansion with the Affordable Care Act, according to a study published online Oct. 25 in the Journal of the American Medical Association.

Shailender Swaminathan, Ph.D., from the Brown University School of Public Health in Providence, Rhode Island, and colleagues assessed the association between Medicaid expansion and one-year mortality among nonelderly patients with ESRD initiating dialysis. Outcomes were assessed during January 2011 through March 2017.

There were 142,724 patients in expansion states (mean age, 50.2 years; 40.2 percent women) and 93,522 patients in nonexpansion states (mean age, 49.7 years; 42.4 percent women). The researchers found that one-year mortality following dialysis initiation declined −0.8 percent after expansion, while the decline was −0.2 percent in nonexpansion states. The largest reductions in mortality were seen for black patients (−1.4 percent) and patients aged 19 to 44 years (−1.1 percent). Expansion was associated with a 10.5 percent increase in Medicaid coverage at dialysis initiation, a −4.2 percent decrease in being uninsured, and a 2.3 percent increase in the presence of an arteriovenous fistula or graft.

"Medicaid may have resulted in better adherence to treatment sessions, normally three times a week, because it eliminated co-payments of about $150 per week," Swaminathan said in a statement. "On the other hand, because out-of-pocket medical payments were reduced, Medicaid may have also improved patients' finances, thereby improving health. More research may be essential to unravel this."

Abstract/Full Text
Editorial

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

FDA: Gout Drug Uloric Increases Risk of Death

FDA: Gout Drug Uloric Increases Risk of Death

Medication is associated with increased risk of heart-related death and death from all causes

Since Early 2000s, Overdose Death Rates Are Highest in U.S.

Since Early 2000s, Overdose Death Rates Are Highest ...

U.S. was not an outlier in terms of drug overdose mortality prior to the early 2000s

National Health Spending Set to Increase 5.5 Percent Annually

National Health Spending Set to Increase 5.5 Percent ...

Long-observed demographic and economic factors expected to drive growth in health spending

is free, fast, and customized just for you!




Already a member?

Sign In Now »