Featured Research

from universities, journals, and other organizations

Study estimates effect on surgery following national health insurance expansion

Date:
July 2, 2014
Source:
The JAMA Network Journals
Summary:
Full implementation of the Affordable Care Act's national health insurance expansion could result in many more discretionary surgical procedures in the next few years based on how utilization changed after an earlier insurance reform in Massachusetts, researchers report.

Full implementation of the Affordable Care Act's (ACA) national health insurance expansion could result in many more discretionary surgical procedures in the next few years based on how utilization changed after an earlier insurance reform in Massachusetts.

The potential effect of the ACA on surgical care is not well known. The authors examined its possible effect by analyzing the Massachusetts insurance expansion and utilization of discretionary and nondiscretionary surgical procedures.

The authors used state inpatient databases from Massachusetts and two control states (New Jersey and New York) to identify adults who underwent discretionary procedures (e.g. elective procedures such as joint replacement and back surgery) and nondiscretionary procedures (e.g. cancer surgery and hip fracture repair) from 2003 through 2010. The transition point for insurance reform was July 2007.

A total of 836,311 surgical procedures were identified during the study period. Insurance expansion was associated with a 9.3 percent increase in discretionary surgery in Massachusetts and a 4.5 percent decrease in nondiscretionary surgery. Authors estimate the ACA could yield an additional 465,934 discretionary surgical procedures by 2017.

"Our collective findings suggest that insurance expansion leads to greater utilization of discretionary inpatient procedures that are often performed to improve quality of life rather than to address immediately life-threatening conditions. Moving forward, research in this area should focus on whether greater utilization of such procedures represents a response to unmet need or changes in treatment thresholds driven by patients, providers or some combination of the two," researchers note.


Story Source:

The above story is based on materials provided by The JAMA Network Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Chandy Ellimoottil, Sarah Miller, John Z. Ayanian, David C. Miller. Effect of Insurance Expansion on Utilization of Inpatient Surgery. JAMA Surgery, 2014; DOI: 10.1001/jamasurg.2014.857

Cite This Page:

The JAMA Network Journals. "Study estimates effect on surgery following national health insurance expansion." ScienceDaily. ScienceDaily, 2 July 2014. <www.sciencedaily.com/releases/2014/07/140702170032.htm>.
The JAMA Network Journals. (2014, July 2). Study estimates effect on surgery following national health insurance expansion. ScienceDaily. Retrieved September 30, 2014 from www.sciencedaily.com/releases/2014/07/140702170032.htm
The JAMA Network Journals. "Study estimates effect on surgery following national health insurance expansion." ScienceDaily. www.sciencedaily.com/releases/2014/07/140702170032.htm (accessed September 30, 2014).

Share This



More Health & Medicine News

Tuesday, September 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

How 'Yes Means Yes' Defines Sexual Assault

How 'Yes Means Yes' Defines Sexual Assault

Newsy (Sep. 29, 2014) Aimed at reducing sexual assaults on college campuses, California has adopted a new law changing the standard of consent for sexual activity. Video provided by Newsy
Powered by NewsLook.com
Scientists May Have Found An Early Sign Of Pancreatic Cancer

Scientists May Have Found An Early Sign Of Pancreatic Cancer

Newsy (Sep. 29, 2014) Researchers looked at 1,500 blood samples and determined people who developed pancreatic cancer had more branched chain amino acids. Video provided by Newsy
Powered by NewsLook.com
Colo. Doctors See Cluster of Enterovirus Cases

Colo. Doctors See Cluster of Enterovirus Cases

AP (Sep. 29, 2014) Doctors at the Children's Hospital of Colorado say they have treated over 4,000 children with serious respiratory illnesses since August. Nine of the patients have shown distinct neurological symptoms, including limb weakness. (Sept. 29) Video provided by AP
Powered by NewsLook.com
Dr.'s Unsure of Cause of Fast-Spreading Virus

Dr.'s Unsure of Cause of Fast-Spreading Virus

AP (Sep. 29, 2014) Doctors at the Children's Hospital of Colorado say they have treated over 4,000 children with serious respiratory illnesses since August. Nine of the patients have shown distinct neurological symptoms, including limb weakness. (Sept. 29) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins