Changes in health insurance status and mortality in patients with acute heart failure
Introduction: 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...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | American Heart Journal Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666602225000709 |
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| author | Federico Viganego Mark K. Meiselbach Michael G. Fradley Samer S. Najjar |
| author_facet | Federico Viganego Mark K. Meiselbach Michael G. Fradley Samer S. Najjar |
| author_sort | Federico Viganego |
| collection | DOAJ |
| description | Introduction: 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. Methods: 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. Results: 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. Conclusion: 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. |
| format | Article |
| id | doaj-art-aab2dd8a493c4744aa50414f5a83e2a2 |
| institution | Kabale University |
| issn | 2666-6022 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Heart Journal Plus |
| spelling | doaj-art-aab2dd8a493c4744aa50414f5a83e2a22025-08-20T03:50:50ZengElsevierAmerican Heart Journal Plus2666-60222025-08-015610056710.1016/j.ahjo.2025.100567Changes in health insurance status and mortality in patients with acute heart failureFederico Viganego0Mark K. Meiselbach1Michael G. Fradley2Samer S. Najjar3MedStar Heart and Vascular Institute, Baltimore, MD, United States of America; Corresponding author at: MedStar Franklin Square Medical Center, 9105 Franklin Square Dr, Suite 209, Baltimore, MD 21237, United States of America.Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of AmericaDivision of Cardiology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, United States of AmericaMedStar Heart and Vascular Institute, Baltimore, MD, United States of AmericaIntroduction: 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. Methods: 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. Results: 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. Conclusion: 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.http://www.sciencedirect.com/science/article/pii/S2666602225000709Heart failureHealth insurance changesOutcomesMortalityQualityOutcomes and costs in heart failure |
| spellingShingle | Federico Viganego Mark K. Meiselbach Michael G. Fradley Samer S. Najjar Changes in health insurance status and mortality in patients with acute heart failure American Heart Journal Plus Heart failure Health insurance changes Outcomes Mortality Quality Outcomes and costs in heart failure |
| title | Changes in health insurance status and mortality in patients with acute heart failure |
| title_full | Changes in health insurance status and mortality in patients with acute heart failure |
| title_fullStr | Changes in health insurance status and mortality in patients with acute heart failure |
| title_full_unstemmed | Changes in health insurance status and mortality in patients with acute heart failure |
| title_short | Changes in health insurance status and mortality in patients with acute heart failure |
| title_sort | changes in health insurance status and mortality in patients with acute heart failure |
| topic | Heart failure Health insurance changes Outcomes Mortality Quality Outcomes and costs in heart failure |
| url | http://www.sciencedirect.com/science/article/pii/S2666602225000709 |
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