TennCare disenrollment and avoidable hospital visits in Davidson County, Tennessee.
J Health Care Poor Underserved
; 23(1): 425-45, 2012 Feb.
Article
em En
| MEDLINE
| ID: mdl-22643488
ABSTRACT
The objective of this study was to determine if an association existed between the mid-2005 TennCare (Medicaid) disenrollment and increases in uninsured ambulatory care sensitive condition (ACSC) non-admitted ER visits and inpatient hospitalizations in Davidson County, Tennessee (= the city of Nashville). Logistic regression modeling, using an interactive term for insurance category x year, indicated that the effect of no insurance on ACSC ER visits increased by 18% from 2003 to 2007 (p<.001), but no significant effect was found for uninsured ACSC inpatient hospitalizations. These greater odds of ACSC ER visits among uninsured patients were associated with a 60% increase in hospitals' bad debt write offs during this same time period. Therefore, the TennCare disenrollment was associated with increased likelihood of uninsured ACSC non-admitted ER visits and greater financial losses for Davidson County hospitals during this time period.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Medicaid
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Pessoas sem Cobertura de Seguro de Saúde
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Cuidados de Saúde não Remunerados
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Definição da Elegibilidade
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Serviço Hospitalar de Emergência
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Assistência Ambulatorial
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Hospitalização
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article