Changes in health insurance status and mortality in patients with acute heart failure

Health insurance changes (HIC) can lead to coverage gaps, alter the continuity of care, potentially affecting clinical outcomes; Heart Failure (HF) is a leading contributor to hospital readmissions in the U.S. We analyzed the relationship between HIC, readmission costs and mortality in patients with...

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Vydáno v:American heart journal plus Ročník 56; s. 100567
Hlavní autoři: Viganego, Federico, Meiselbach, Mark K., Fradley, Michael G., Najjar, Samer S.
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Inc 01.08.2025
Elsevier
Témata:
Cardiovascular
Health insurance changes
Heart failure
Mortality
Outcomes
Outcomes and costs in heart failure
Quality
Research Letter
Heart failure
Outcomes and costs in heart failure
Health insurance changes
Mortality
Quality
Outcomes
ISSN:2666-6022, 2666-6022
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Shrnutí:Health insurance changes (HIC) can lead to coverage gaps, alter the continuity of care, potentially affecting clinical outcomes; Heart Failure (HF) is a leading contributor to hospital readmissions in the U.S. We analyzed the relationship between HIC, readmission costs and mortality in patients with HF after a recent hospitalization. We used data from the 2019 National Readmission Database to analyze 30-day re-admission incidence, costs and mortality in hospitalized HF patients in relation to HIC. Among 569,714 acute HF admissions, 4.2 % of patients (n = 4811) experienced HIC within 30 days; HIC were associated with younger age, more comorbidities, and Medicaid coverage. HIC were associated with higher readmission mortality, longer hospitalizations and increased hospital costs. HIC in high-risk HF patients are associated with worse clinical outcomes and higher cost burden, highlighting the need for efforts aimed at preserving continuity of coverage in this population.
Bibliografie:content type line 23
SourceType-Scholarly Journals-1
ObjectType-Correspondence-1
ISSN:2666-6022
2666-6022
DOI:10.1016/j.ahjo.2025.100567