Affordable Care Act Expansion and the Trauma Care Paradox: Increased Mortality Amid Improved Insurance Coverage
Despite improved insurance coverage, mortality increased post-ACA. Our findings suggest evolving trauma care patterns in the post-ACA era, including greater reliance on Level II centers and fewer transfers, underscoring the importance of developing a national trauma system under changing policy conditions.
Authors
- Siobhan O. Nnorom (ORCID: https://orcid.org/0000-0003-1227-7771)
- Debra H. Ford
- Kakra Hughes (ORCID: https://orcid.org/0000-0002-0861-5048)
- Alexander Evans (ORCID: https://orcid.org/0009-0005-7426-0168)
- Terrence M. Fullum
- May C. Tee (ORCID: https://orcid.org/0000-0002-8087-5522)
- Edward E. Cornwell
- Mallory Williams
- Andrea Hayes-Dixon
- Quyen Chu
Institutions
- Howard University (US)
- John H. Stroger, Jr. Hospital of Cook County (US)
Publication Details
- Journal
- Journal of the American College of Surgeons
- Published
- 2026-01-30
- DOI
- https://doi.org/10.1097/xcs.0000000000001823
- Primary Topic
- Trauma and Emergency Care Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00