AI Article Synopsis

  • The study examines the outcomes for Medicaid beneficiaries with diabetic foot ulcers (DFUs) who switched to commercial insurance from 2010 to 2019.
  • A total of 8856 patients were included, and the data analysis involved methods like propensity matching to compare outcomes between those with commercial insurance and those who remained on Medicaid.
  • Results showed that transitioning to commercial insurance correlated with a 27% lower risk of major amputation, highlighting potential benefits of insurance type for patients with DFUs.

Article Abstract

Objective: This study investigates the outcomes of Medicaid beneficiaries with diabetic foot ulcers (DFUs) who had transitioned to commercial insurance.

Methods: We utilized the PearlDiver claims database to identify adult patients diagnosed with a new DFU between 2010 and 2019. The study cohort comprised 8856 Medicaid beneficiaries who had at least three years of continuous enrollment after DFU diagnosis. Medicaid beneficiaries who transitioned to Medicare during follow-up were excluded. Adjusted comparisons of outcomes were performed by propensity matching the two groups for age, gender, and Charlson Comorbidity Index (CCI) in a 1:1 ratio. We used logistic regression and Kaplan-Meier estimate to evaluate the association between insurance change (from Medicaid to commercial insurance) and major amputation.

Results: Among the 8856 Medicaid beneficiaries with DFUs, 66% ( = 5809) had transitioned to commercial insurance coverage during follow-up. The overall major amputation rate was 2.8% ( = 247), with a lower rate observed in patients who transitioned to commercial insurance compared to those with continuous Medicaid coverage (2.6% vs. 3.2%, < 0.05). In multivariable analysis, Medicaid beneficiaries who transitioned to commercial insurance had a 27% lower risk of major amputation (study cohort: odds ratios [OR] 0.75, 95% CI 0.56-0.97, = 0.03; matched cohort: OR 0.65, 95% 0.22, 0.55, = 0.01) compared to those with continuous Medicaid coverage.

Conclusions: Transitioning from Medicaid to commercial insurance may be associated with a lower risk of major amputation among Medicaid beneficiaries with DFUs.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11525773PMC
http://dx.doi.org/10.3390/diabetology5030027DOI Listing

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