MedicalResearch.com Interview with:
Amal Trivedi, MD, MPH
Associate Professor of Health Services, Policy and Practice
Associate Professor of Medicine
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: The Affordable Care Act Medicaid expansion gave states the option to expand coverage to low-income adults. Prior research has reported that these expansions have been associated with increased coverage, improved access to care, and in some studies better self-rated health. To date the impact of Medicaid expansion on mortality rates, particularly for persons with serious chronic illness, remains unknown.
Our study found an association between Medicaid expansion and lower death rates for patients with end-stage renal disease in the first year after initiating dialysis. Specifically, we found an absolute reduction in 1-year mortality in expansion states of -0.6 percentage points, which represents a 9% relative reduction in 1-year mortality. Continue reading