TY  - BOOK
AU  - Giladi, Aviram M
TI  - Trends in Medicaid beneficiaries' receipt of breast reconstruction procedures following Pre-Affordable Care Act (ACA) Medicaid expansion in New York State
SN  - 0002-9610
PY  - 2017///
KW  - IN PROCESS -- NOT YET INDEXED
KW  - Curtis National Hand Center
KW  - Journal Article
N1  - Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
N2  - BACKGROUND: Expanding eligibility will increase the demand for surgical services within Medicaid but little is known of the response to such increase in demand. We examined how much of the increased demand for breast reconstruction was met after expansion of Medicaid eligibility; CONCLUSIONS: The smaller increase in Medicaid percentage of reconstructive procedures suggests that the added demand for reconstruction was not met; Copyright (c) 2017 Elsevier Inc. All rights reserved; METHODS: We used New York state databases from 1998 to 2006 and a population of non-elderly adults (19-64) who underwent breast cancer treatment and reconstructive procedures. We used an Interrupted Time-Series design to examine the association between Medicaid expansion in 2001 and changes in the percentages of treatment and reconstructive procedures covered by Medicaid; RESULTS: After expansion, there was an increase of 9.6% in the percentage of treatment procedures covered by Medicaid (added demand for breast reconstruction). However, there was a 6.8% increase in the percentage of reconstructive procedures covered by Medicaid; SUMMARY: We used New York State's October 2001 expansion of Medicaid eligibility to low-income non-elderly adults as a natural experiment to examine the response to increased demand for breast reconstruction within Medicaid. We used the expected increase in the percentage of breast cancer treatment procedures covered by Medicaid as the measure of increased demand after eligibility expansion. After expansion, we found a 30% lower increase in reconstructive procedures relative to treatment procedures covered by Medicaid suggesting that the increased demand for reconstruction was not met
UR  - https://dx.doi.org/10.1016/j.amjsurg.2017.10.031
ER  -