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Is the Affordable Care Act Medicaid expansion in the USA associated with reductions in intimate partner violence victimisation?
Inj Prev
December 2024
Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
Objective: Intimate partner violence (IPV) affects an estimated 47% of women living in the USA in their lifetime and is associated with increased risk of physical and mental health concerns. Current prevention efforts focus on individual and family-level interventions rather than macrosystem-level policies. Thus, we sought to test the effects of Medicaid expansion on the rates of IPV and violence more broadly.
View Article and Find Full Text PDFExplicit inference: A meta-replication of SEER cancer registry research evaluating the Affordable Care Act's Medicaid expansion.
J Eval Clin Pract
December 2024
Department of Epidemiology, University of Iowa College of Public Health, Iowa City, Iowa, USA.
Objectives: Among the provisions within the Affordable Care Act (ACA), expanding Medicaid was arguably the greatest contributor to increasing access to care. For over a decade, researchers have investigated how Medicaid expansion impacted cancer outcomes. Over this same decade, statistical theory illuminated how state-based policy research could be compromised by invalid inference.
View Article and Find Full Text PDFAssociation of Medicaid expansion with health insurance, unmet need for medical care and substance use disorder treatment among people who inject drugs in 13 US states.
Addiction
March 2024
Department of Health Policy and Management, Rollins School of Public Health at Emory University, Atlanta, GA, USA.
Background And Aims: Impoverished people who inject drugs (PWID) are at the epicenter of US drug-related epidemics. Medicaid expansion is designed to reduce cost-related barriers to care by expanding Medicaid coverage to all US adults living at or below 138% of the federal poverty line. This study aimed to measure whether Medicaid expansion is (1) positively associated with the probability that participants are currently insured; (2) inversely related to the probability of reporting unmet need for medical care due to cost in the past year; and (3) positively associated with the probability that they report receiving substance use disorder (SUD) treatment in the past year, among PWID subsisting at ≤ 138% of the federal poverty line.
View Article and Find Full Text PDFMedicaid Expansion's Final Frontier: Breaking State-Level Partisan Opposition.
JAMA
October 2023
Center for Innovations in Quality, Effectiveness, and Safety (IQuESt), Michael E. DeBakey VA Medical Center, Houston, Texas.
Impact of Medicaid Expansion on Abdominal Surgery Morbidity, Mortality, and Hospital Readmission.
J Surg Res
November 2023
Department of Surgery, University of Virginia, Charlottesville, Virginia; Department of Surgery, Surgical Outcomes Research Center, University of Virginia, Charlottesville, Virginia. Electronic address:
Article Synopsis
- The study evaluated the impact of Medicaid expansion (ME) on postoperative outcomes after abdominal surgery in Virginia (which expanded Medicaid) compared to Tennessee (which did not).
- Analysis of surgical data indicated that after ME, Virginia saw a significant increase in Medicaid patients and a corresponding decrease in uninsured patients.
- Post-ME, Virginia experienced lower rates of 30-day morbidity and unplanned readmissions, while no significant changes were observed in Tennessee’s Medicaid outcomes.
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