Medicare Enrollment and Spending Among Patients Initiating Dialysis After the Affordable Care Act
This cross-sectional study demonstrates that lower Medicare enrollment rates over time among those initiating dialysis may be inducing higher social spending. This finding raises concerns about the effectiveness of Medicare policies and federal leverage to improve access, outcomes, and value of dialysis care.
Authors
- Caroline E. Sloan (ORCID: https://orcid.org/0000-0003-1611-3846)
- Neil Rowen
- Matthew L. Maciejewski (ORCID: https://orcid.org/0000-0003-1765-5938)
- Bradley G. Hammill (ORCID: https://orcid.org/0000-0002-0389-6434)
- Lauren E. Wilson (ORCID: https://orcid.org/0000-0002-5953-2293)
- Virginia Wang (ORCID: https://orcid.org/0000-0002-2344-200X)
Institutions
- Kaiser Permanente (US)
- Duke University (US)
- Durham VA Health Care System (US)
- Duke Institute for Health Innovation (US)
Publication Details
- Journal
- JAMA Health Forum
- Published
- 2024-12-06
- DOI
- https://doi.org/10.1001/jamahealthforum.2024.4304
- Citations
- 4
- Primary Topic
- Healthcare Policy and Management
- Type
- article
- Field-Weighted Citation Impact
- 4.52
Funders
- U.S. Department of Veterans Affairs
- Amgen
- AstraZeneca
- AcademyHealth
- National Institute of Diabetes and Digestive and Kidney Diseases