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Fewer hospitals provide operative fracture care to Medicaid patients than otherwise-insured patients in 4 large states

Journal of Orthopaedic Trauma May 31, 2019

Brodke DJ, et al. - In this retrospective, population-based cohort study of administrative health data, researchers determined whether Medicaid patients receive operative fracture care at an equal number of hospitals as otherwise-insured patients and compared travel distances between Medicaid and otherwise-insured patients. Participants in the study were two hundred forty thousand three hundred seventy-six patients who had open reduction and internal fixation of a fracture of the radius/ulna, tibia/fibula, or humerus between 2006 and 2010 in Texas or New York, or between 2010 and 2014 in California or Florida. Compared to otherwise-insured patients, fewer hospitals provide operative fracture care to Medicaid patients but Medicaid patients do not travel longer distances to the hospital on a population level.
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