Hospital patients without insurance in 2009–2010 were less likely to receive care at a high-quality hospital compared with patients covered by Medicaid or private insurance, according to a new AHRQ study. The study concluded that since patients without insurance had lower use of high-quality hospitals, future research should examine how the Affordable Care Act has influenced their access to improved care. Findings showed the probability of being admitted to a high-quality hospital was similar for patients with Medicaid and private insurance (about 23 percent), but was significantly lower for patients without insurance (19.8 percent). The study stated that accounting for demographic, socioeconomic and clinical characteristics did not influence the results. Study authors used AHRQ’s Healthcare Cost and Utilization Project to examine data on nearly 875,000 patients treated at more than 1,800 hospitals in 18 states. Patients had a primary diagnosis of acute myocardial infarction, heart failure, pneumonia, stroke or gastrointestinal hemorrhage. A hospital’s level of quality was determined by its in-hospital mortality rate. “Differences in Use of High-Quality and Low-Quality Hospitals Among Working-Age Individuals by Insurance Type” and abstract were published in the February issue of Medical Care.
Med Care. 2017 Feb;55(2):148-154. doi: 10.1097/MLR.0000000000000633.
Differences in Use of High-quality and Low-quality Hospitals Among Working-age Individuals by Insurance Type.
- [PubMed - in process]