Does supplemental private insurance affect care of Medicare recipients hospitalized for myocardial infarction?

Abstract:

OBJECTIVES:We sought to determine whether supplemental private insurance coverage among Medicare recipients alters patterns of health care or outcomes associated with acute myocardial infarction. METHODS:Medicare patients hospitalized after a myocardial infarction were identified from New York City hospitalization records. Patients who had only Medicare coverage were compared with those who had supplemental private or public insurance coverage. RESULTS:Patients with supplemental private insurance exhibited increased rates of revascularization and decreased rates of in-hospital mortality relative to patients with either Medicare only or Medicare and public insurance. Moreover, Blacks and women were less likely to undergo revascularization and exhibited higher in-hospital mortality rates. CONCLUSIONS:Despite Medicare, private insurance coverage appears to influence the likelihood of coronary revascularization among older patients hospitalized for acute myocardial infarction.

journal_name

Am J Public Health

authors

Fang J,Alderman MH

doi

10.2105/ajph.94.5.778

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

778-82

issue

5

eissn

0090-0036

issn

1541-0048

journal_volume

94

pub_type

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