000			02876nam a22003497a 4500
008			171212s20172017 xxu||||| |||| 00| 0 eng d
022			_a0002-9610
040			_aOvid MEDLINE(R)
099			_a29203038
245			_aTrends in Medicaid beneficiaries' receipt of breast reconstruction procedures following Pre-Affordable Care Act (ACA) Medicaid expansion in New York State.
251			_aAmerican Journal of Surgery. , 2017 Nov 28
252			_aAm J Surg. , 2017 Nov 28
253			_aAmerican journal of surgery
260			_c2017
260			_fFY2018
266			_d2017-12-12
501			_aAvailable online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
520			_aBACKGROUND: 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.
520			_aCONCLUSIONS: The smaller increase in Medicaid percentage of reconstructive procedures suggests that the added demand for reconstruction was not met.
520			_aCopyright (c) 2017 Elsevier Inc. All rights reserved.
520			_aMETHODS: 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.
520			_aRESULTS: 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.
520			_aSUMMARY: 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.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aCurtis National Hand Center
657			_aJournal Article
700			_aGiladi, Aviram M
790			_aAliu O, Chung KC, Giladi AM
856			_uhttps://dx.doi.org/10.1016/j.amjsurg.2017.10.031 _zhttps://dx.doi.org/10.1016/j.amjsurg.2017.10.031
942			_cART _dArticle
999			_c2874 _d2874