Clinical Edge

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Affordable Care Act and Adult Survivors of Stroke

JAMA Neurology; ePub 2018 Aug 27; Levine, et al

After the implementation of the US Affordable Care Act (ACA), health insurance coverage increased and cost-related nonadherence (CRN) decreased among adult survivors of stroke, suggesting that further expansion of Medicaid coverage is likely to be advantageous for survivors. This according to a recent study that analyzed data from the 2000 to 2016 National Health Interview Survey, an in-person household survey of the noninstitutionalized US population conducted annually by the National Center for Health Statistics. Conducted at the University of Michigan Medical School from July 24, 2017, to February 28, 2018, the study had a sample of 13,930 stroke survivors. Researchers found:

  • Among total survivors of stroke, 38.1% were aged 45 to 64 years (50.5%were female and 49.5% were male, with a mean [SE] age of 56.0 [0.10] years), and 61.9% were aged ≥65 years (54.9% were female and 45.1% were male, with a mean [SE] age of 76.2 [0.09] years).
  • From 2011 to 2013 through 2014 to 2016, Medicaid increased (from 24.0% in 2011-2013 to 30.8% in 2014-2016) and uninsurance decreased (from 13.7% to 6.8%) among survivors of stroke aged 45 to 64 years.

Citation:

Levine DA, Burke JF, Shannon CF, Reale BK, Chen LM. Association of medication nonadherence

among adult survivors of stroke after implementation of the US Affordable Care Act. [Published online ahead of print August 27, 2018]. JAMA Neurology. doi:10.1001/jamaneurol.2018.2302.

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