See related article, pages 2149 –2156. I n its landmark publication, " Crossing the Quality Chasm, " published in 2001, the Institute of Medicine defined 6 fundamental dimensions of quality in health care, one of which is equity. 1 Whereas dimensions such as evidence-based methods and safety are subjects of intense research, equity has until recently been less in focus. Much of the healthcare i...

CONTEXT The Affordable Care Act resulted in unprecedented reductions in the uninsured population through subsidized private insurance and an expansion of Medicaid. Early estimates from the beginning of 2014 showed that the Medicaid expansion decreased uninsured discharges and increased Medicaid discharges with no change in total discharges. OBJECTIVE To provide new estimates of the effect of ...

The objective of this study was to investigate if the insurance status of patients impacted the treatment options and prognosis in acute limb ischemia (ALI). A retrospective chart review was performed at a single university tertiary care center using ICD-9 codes for the diagnosis and procedure for ALI from January 2000 to January 2011. A total of 96 patients were diagnosed with ALI, comprising ...

This Issue Brief provides summary data on the insured and uninsured populations in the nation and in each state. It discusses the characteristics most closely related to an individual's health insurance status. Based on EBRI estimates from the March 1999 Current Population Survey (CPS), it represents 1998 data--the most recent data available. In 1998, 194.7 million nonelderly Americans--81.6 pe...

BACKGROUND Community-based health insurance has been associated with increased hospitalisation in low-income settings, but with limited analysis of the illnesses for which claims are submitted. A review of claims submitted to VimoSEWA, an inpatient insurance scheme in Gujarat, India, found that fever, diarrhoea and hysterectomy, the latter at a mean age of 37 years, were the leading reasons for...

Background: National health reform is designed to reduce the number of uninsured adults. Currently, many uninsured individuals receive care at safety-net health care providers such as community health centers (CHCs) or safety-net hospitals. This project examined data from Massachusetts to assess how the demand for ambulatory and inpatient care and use changed for safety-net providers after the ...

gy to reduce the number of uninsured is a matter of debate, much of which hinges on the impact on the insurance market. Specifically, will these plans create a new coverage alternative for uninsured individuals or simply crowd-out those who previously had comprehensive health insurance? The Commonwealth Fund concluded that the loss of certain benefits or substantial increases in deductibles rep...

Before 2002, 30% of the entire Thai population of 63 million people remained uninsured. With the advent of the Universal Coverage Scheme (UCS) that combined a medical welfare lowincome card scheme and a government-subsidized voluntary health card scheme with a coverage extension to the remaining uninsured, Thailand achieved the status of universal health coverage (UHC) in 2002 in terms of insur...

KEY FINDINGS Older adults (aged 75 and over), non-Hispanic black persons, poor persons, and persons with Medicaid coverage were more likely to have had at least one emergency department (ED) visit in a 12-month period than those in other age, race, income, and insurance groups. Among the under-65 population, the uninsured were no more likely than the insured to have had at least one ED visit in...

The increasing financial pressures of health care insurance coverage have become a key issue for advanced economies. This study tests whether hospital financial pressures have an effect on the health of the uninsured population. To do so, the author investigates the implications of managed care for the uninsured in the United States. Managed care penetration has increased financial pressures on...