TY - JOUR
T1 - Neurologic disorders in Medicaid vs privately insured children and working-age adults
AU - Mateen, Farrah J.
AU - Geer, Joseph P.
AU - Frick, Kevin
AU - Carone, Marco
PY - 2014/4
Y1 - 2014/4
N2 - This retrospective, observational study reports health utilization and access patterns of Medicaid recipients for neurologic diseases compared to privately insured individuals seen in 2 hospitals at a single institution in the same time period. We reviewed records of patients and compared demographic characteristics, visit types, neurologic diagnoses, and all-cause mortality, by age group, when seen with Medicaid vs private insurance. Adults insured by Medicaid were more likely to present as inpatients and with life-threatening neurologic disease compared to privately insured patients. Moreover, adult patients presenting with neurologic disease on Medicaid had a higher all-cause mortality rate than privately insured patients. Similar disparities in neurologic disease were not observed in children. The relationship of these findings to patient educational status, household income, comorbidities, and the reasons prompting Medicaid eligibility require additional study.
AB - This retrospective, observational study reports health utilization and access patterns of Medicaid recipients for neurologic diseases compared to privately insured individuals seen in 2 hospitals at a single institution in the same time period. We reviewed records of patients and compared demographic characteristics, visit types, neurologic diagnoses, and all-cause mortality, by age group, when seen with Medicaid vs private insurance. Adults insured by Medicaid were more likely to present as inpatients and with life-threatening neurologic disease compared to privately insured patients. Moreover, adult patients presenting with neurologic disease on Medicaid had a higher all-cause mortality rate than privately insured patients. Similar disparities in neurologic disease were not observed in children. The relationship of these findings to patient educational status, household income, comorbidities, and the reasons prompting Medicaid eligibility require additional study.
UR - http://www.scopus.com/inward/record.url?scp=84902832864&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84902832864&partnerID=8YFLogxK
U2 - 10.1212/CPJ.0000000000000011
DO - 10.1212/CPJ.0000000000000011
M3 - Article
C2 - 24790798
AN - SCOPUS:84902832864
SN - 2163-0402
VL - 4
SP - 136
EP - 145
JO - Neurology: Clinical Practice
JF - Neurology: Clinical Practice
IS - 2
ER -