Cutting insurance eligibility ups peds hospitalization cost burden

July 13, 2018

(HealthDay)—Reducing public insurance (Medicaid and the Children's Health Insurance Program) income eligibility limits would result in large numbers of newly ineligible pediatric hospitalizations, according to a study published online July 9 in Pediatrics.

Jessica L. Bettenhausen, M.D., from the University of Missouri-Kansas City, and colleagues conducted a using the 2014 State Inpatient Databases for all pediatric (age, <18) hospitalizations in 14 states. Each patient's zip code was linked to the American Community Survey to ascertain the likelihood of the patient being below three different public insurance income eligibility thresholds (300, 200, and 100 percent of the federal poverty level [FPL]).

The researchers found that reductions in eligibility limits to 300, 200, and 100 percent of the FPL would have resulted in large numbers of newly ineligible hospitalizations (20, 57, and 84 percent of hospitalizations, respectively), corresponding to $1.2, $3.1, and $4.4 billion of estimated child hospitalization costs among 775,460 publicly reimbursed hospitalizations in 14 states. Only slight differences were seen in patient demographics under each eligibility threshold.

"Reducing public insurance eligibility limits would have resulted in numerous pediatric hospitalizations not covered by public insurance, shifting costs to families, other insurers, or hospitals," the authors write. "Without adequately subsidized commercial insurance, this reflects a potentially substantial economic hardship for families and hospitals serving them."

Explore further: Reduction in federal funding could reduce quality of specialized pediatric care

More information: Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Related Stories

Reduction in federal funding could reduce quality of specialized pediatric care

May 5, 2018
Hospitals caring for children with serious, chronic illness are highly dependent on public payers, according to a new study. The research found that proposals to dramatically reduce federal expenditures on Medicaid and Children's ...

Medicaid expansion ups access to rehab in young adults with injury

June 9, 2018
(HealthDay)—For young adults hospitalized for injury, the first year of implementation of Medicaid expansion under the Affordable Care Act correlated with significant increases in Medicaid coverage, reductions in lack of ...

Study examines financial losses for inpatient care of children with Medicaid

September 12, 2016
Freestanding children's hospitals had the largest financial losses for pediatric inpatients covered by Medicaid, suggesting hospitals may be unlikely to offset decreased Disproportionate Share Hospital (DSH) payments from ...

Income-based disparities seen in pediatric hospitalizations

April 10, 2018
(HealthDay)—There are pervasive income-based disparities in pediatric inpatient bed-day rates, according to a study published in the April issue of Health Affairs.

Pediatric hospitalization for gun injuries higher in urban areas

July 3, 2018
(HealthDay)—Urban areas have higher overall pediatric hospitalization rates for firearm injuries, with the highest rates for urban 15- to 19-year-olds, according to a study published online July 2 in Pediatrics.

Medicaid work requirements and health savings accounts may impact people's coverage

June 20, 2018
Current experimental approaches in Medicaid programs—including requirements to pay premiums, contribute to health savings accounts, or to work—may lead to unintended consequences for patient coverage and access, such ...

Recommended for you

Does an 'echo chamber' of information impede flu vaccination for children?

November 19, 2018
Parents who decline to get their child vaccinated against the flu may be exposed to a limited range of information, a new national poll suggests.

Sucking your baby's pacifier may benefit their health

November 16, 2018
Many parents probably think nothing of sucking on their baby's pacifier to clean it after it falls to the ground. Turns out, doing so may benefit their child's health.

Newborn babies' brain responses to being touched on the face measured for the first time

November 16, 2018
A newborn baby's brain responds to being touched on the face, according to new research co-led by UCL.

No link between 'hypoallergenic' dogs and lower risk of childhood asthma

November 15, 2018
Growing up with dogs is linked to a lower risk of asthma, especially if the dogs are female, a new study from Karolinska Institutet and Uppsala University in Sweden shows. However, the researchers found no relation between ...

Study shows changes in histone methylation patterns in nutritionally stunted children

November 13, 2018
An international team of researchers has found changes in histone methylation patterns in nutritionally stunted children. In their paper published in Proceedings of the National Academy of Sciences, the group describes their ...

Your 6-month-old isn't sleeping through the night? Relax

November 12, 2018
(HealthDay)—If your 6-month-old still wakes up at 2 a.m., a new study suggests you don't lose any additional sleep worrying about it.


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.