TY - JOUR
T1 - Tenncare disenrollment and avoidable hospital visits in Davidson County, Tennessee
AU - Emerson, Janice S.
AU - Hull, Pamela C.
AU - van Cain, A.
AU - Novotny, Meggan
AU - Stanley, Rodney E.
AU - Levine, Robert S.
PY - 2012/2
Y1 - 2012/2
N2 - The objective of this study was to determine if an association existed between the mid-2005 TennCare (Medicaid) disenrollment and increases in uninsured ambulatory care sensitive condition (ACSC) non-admitted ER visits and inpatient hospitalizations in Davidson County, Tennessee (= the city of Nashville). Logistic regression modeling, using an interactive term for insurance category x year, indicated that the effect of no insurance on ACSC ER visits increased by 18% from 2003 to 2007 (p<.001), but no significant effect was found for uninsured ACSC inpatient hospitalizations. These greater odds of ACSC ER visits among uninsured patients were associated with a 60% increase in hospitals' bad debt write offs during this same time period. Therefore, the TennCare disenrollment was associated with increased likelihood of uninsured ACSC non-admitted ER visits and greater financial losses for Davidson County hospitals during this time period.
AB - The objective of this study was to determine if an association existed between the mid-2005 TennCare (Medicaid) disenrollment and increases in uninsured ambulatory care sensitive condition (ACSC) non-admitted ER visits and inpatient hospitalizations in Davidson County, Tennessee (= the city of Nashville). Logistic regression modeling, using an interactive term for insurance category x year, indicated that the effect of no insurance on ACSC ER visits increased by 18% from 2003 to 2007 (p<.001), but no significant effect was found for uninsured ACSC inpatient hospitalizations. These greater odds of ACSC ER visits among uninsured patients were associated with a 60% increase in hospitals' bad debt write offs during this same time period. Therefore, the TennCare disenrollment was associated with increased likelihood of uninsured ACSC non-admitted ER visits and greater financial losses for Davidson County hospitals during this time period.
KW - Ambulatory care sensitive
KW - Hospitals
KW - Uninsured
UR - http://www.scopus.com/inward/record.url?scp=84860431142&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84860431142&partnerID=8YFLogxK
U2 - 10.1353/hpu.2012.0002
DO - 10.1353/hpu.2012.0002
M3 - Article
C2 - 22643488
AN - SCOPUS:84860431142
SN - 1049-2089
VL - 23
SP - 425
EP - 445
JO - Journal of Health Care for the Poor and Underserved
JF - Journal of Health Care for the Poor and Underserved
IS - 1
ER -