Insurance Coverage and Care of Patients with Non–ST-Segment Elevation Acute Coronary Syndromes
Authors: Joseph S. Ross
Journal: Annals of Internal Medicine (2007)

Letters7 August 2007Insurance Coverage and Care of Patients with Non–ST-Segment Elevation Acute Coronary SyndromesJoseph S. Ross, MD, MHSJoseph S. Ross, MD, MHSFrom Mount Sinai School of Medicine and James J. Peters Veterans Affairs Medical Center, New York, NY 10029.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-147-3-200708070-00014 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Calvin and colleagues (1) report that patients insured by Medicaid (but not Medicare) were less likely to receive evidence-based care for non–ST-segment elevation acute coronary syndromes than were patients insured by health maintenance organizations or other private payers. However, the authors did not distinguish whether patients received Medicaid coverage through a managed care program—an important limitation. In 2001, at the time of study enrollment, Medicaid provided health coverage to nearly 34 million Americans, 18.8 million (56%) of whom were enrolled in managed care programs (2). Moreover, 19 states had active Section 1115 waivers to implement statewide mandatory ...References1. Calvin JE, Roe MT, Chen AY, Mehta RH, Brogan GX, Delong ER, et al. Insurance coverage and care of patients with non–ST-segment elevation acute coronary syndromes. Ann Intern Med. 2006;145:739-48. [PMID: 17116918] LinkGoogle Scholar2. Kaiser Family Foundation. Medicaid and Managed Care. Menlo Park, CA: Kaiser Family Foundation; December 2001. Fact sheet no. 2068-03. Accessed at www.kff.org/medicaid/upload/Medicaid-and-Managed-Care-Fact-Sheet.pdf on 8 May 2007. Google Scholar3. Hellinger FJ, Wong HS. Selection bias in HMOs: a review of the evidence. Med Care Res Rev. 2000;57:405-39. [PMID: 11105511] CrossrefMedlineGoogle Scholar4. Kaiser Family Foundation. Medicare Chart Book 2005. Menlo Park, CA: Kaiser Family Foundation; 19 July 2005. Publication no. 7284. Accessed at www.kff.org/medicare/7284.cfm on 11 December 2006. Google Scholar Author, Article, and Disclosure InformationAffiliations: From Mount Sinai School of Medicine and James J. Peters Veterans Affairs Medical Center, New York, NY 10029.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoInsurance Coverage and Care of Patients with Non–ST-Segment Elevation Acute Coronary Syndromes James E. Calvin , Matthew T. Roe , Anita Y. Chen , Rajendra H. Mehta , Gerard X. Brogan Jr. , Elizabeth R. DeLong , Dan J. Fintel , W. Brian Gibler , E. Magnus Ohman , Sidney C. Smith Jr. , and Eric D. Peterson Insurance Coverage and Care of Patients with Non–ST-Segment Elevation Acute Coronary Syndromes James E. Calvin , Matthew T. Roe , and Eric D. Peterson Metrics 7 August 2007Volume 147, Issue 3Page: 212KeywordsConflicts of interestHealth careHealth care qualityHealth insuranceMedicarePatientsRenal failure ePublished: 7 August 2007 Issue Published: 7 August 2007 Copyright & PermissionsCopyright © 2007 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...