A Quasi-Experimental Study of Medicaid Expansion and Urban Mortality in the American Northeast
Bibliographic Data
| ID | 22085577 |
|---|---|
| Authors | Cyrus Ayubcha (0000-0001-8347-9173, Harvard University, corresponding author), Pedram Pouladvand (DuPont (United States)), Soussan Ayubcha (Thomas Jefferson University) |
| Year | 2021 |
| Volume | 9 |
| Pages | 707907-707907 |
| Publication date | 2021-11-17 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2021.707907 |
| PMID | 34869142 |
| OpenAlex | W3213610140 |
| Language | EN |
| References cited | 41 |
Objectives: To investigate the association of state-level Medicaid expansion and non-elderly mortality rates from 1999 to 2018 in Northeastern urban settings. Methods: This quasi-experimental study utilized a synthetic control method to assess the association of Medicaid expansion on non-elderly urban mortality rates [1999–2018]. Counties encompassing the largest cities in the Northeastern Megalopolis (Washington D.C., Baltimore, Philadelphia, New York City, and Boston) were selected as treatment units ( n = 5 cities, 3,543,302 individuals in 2018). Cities in states without Medicaid expansion were utilized as control units ( n = 17 cities, 12,713,768 individuals in 2018). Results: Across all cities, there was a significant reduction in the neoplasm (Population-Adjusted Average Treatment Effect = −1.37 [95% CI −2.73, −0.42]) and all-cause (Population-Adjusted Average Treatment Effect = −2.57 [95%CI −8.46, −0.58]) mortality rate. Washington D.C. encountered the largest reductions in mortality (Average Treatment Effect on All-Cause Medical Mortality = −5.40 monthly deaths per 100,000 individuals [95% CI −12.50, −3.34], −18.84% [95% CI −43.64%, −11.67%] reduction, p = < 0.001; Average Treatment Effect on Neoplasm Mortality = −1.95 monthly deaths per 100,000 individuals [95% CI −3.04, −0.98], −21.88% [95% CI −34.10%, −10.99%] reduction, p = 0.002). Reductions in all-cause medical mortality and neoplasm mortality rates were similarly observed in other cities. Conclusion: Significant reductions in urban mortality rates were associated with Medicaid expansion. Our study suggests that Medicaid expansion saved lives in the observed urban settings
Environmental health · Health care · Medicaid · Mortality rate · Population · Demography · Global Health Care Issues · Health disparities and outcomes · Healthcare Policy and Management · Medicine · Gerontology · Internal Medicine
The Oregon Health Insurance Experiment
Changes in Utilization and Health Among Low-Income Adults After Medicaid Expansion or Expanded Private Insurance
Health Insurance Eligibility, Utilization of Medical Care, and Child Health
Why States Expand Medicaid
Medicaid Expansion Under the Affordable Care Act and Insurance Coverage in Rural and Urban Areas
Adoption of Medicaid Expansion Is Associated with Lower Maternal Mortality
Social Determinants of the Health of Urban Populations
Urban as a Determinant of Health
Effects of ACA Medicaid Expansions on Health Insurance Coverage and Labor Supply
Rural Health Disparities, Population Health, and Rural Culture
Medicaid Expansion and Infant Mortality in the United States
Public Insurance and Mortality
Medicaid Expansion Reduced Emergency Department Visits by Low-income Adults Due to Barriers to Outpatient Care
Increased Cancer Screening for Low-income Adults Under the Affordable Care Act Medicaid Expansion
Generalized Synthetic Control Method
Comparative Politics and the Synthetic Control Method
| Citation velocity | historical |
|---|---|
| Highly cited | No |