平价医疗法案的扩展和骨科手术：超过十年的影响。

IF 2.4 Q2 SURGERY

JBJS Reviews Pub Date : 2025-08-15 eCollection Date: 2025-08-01 DOI:10.2106/JBJS.RVW.25.00113

Annika N Hiredesai, Alejandro M Holle, Camryn S Payne, Jack Haglin, Karan A Patel

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引用次数: 0

摘要

»平价医疗法案医疗补助计划的扩大增加了包括种族和少数民族在内的医疗补助患者的骨科手术机会和利用率。»尽管覆盖率有所提高，但医疗补助计划的患者在接受骨科护理方面仍然面临着重大的现实障碍，包括与私人保险患者相比，预约成功率较低，等待时间较长。关于成本和质量影响的证据仍然有限，早期迹象表明，报销增加，收费提高，扩建后质量有所改善。

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Affordable Care Act Expansion and Orthopaedic Surgery: Over a Decade of Impact.

» Affordable Care Act Medicaid expansion increased orthopaedic surgery access and utilization among Medicaid patients, including for racial and ethnic minorities.» Despite improved coverage, Medicaid patients continue to face significant real-world barriers to orthopaedic care, including lower appointment success and longer wait times compared with privately insured patients.» Evidence on cost and quality impacts remains limited, with early signals of increased reimbursements, higher charges, and some quality improvements postexpansion.

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来源期刊

JBJS Reviews SURGERY-

CiteScore

4.40

自引率

4.30%

发文量

132

期刊介绍： JBJS Reviews is an innovative review journal from the publishers of The Journal of Bone & Joint Surgery. This continuously published online journal provides comprehensive, objective, and authoritative review articles written by recognized experts in the field. Edited by Thomas A. Einhorn, MD, and a distinguished Editorial Board, each issue of JBJS Reviews, updates the orthopaedic community on important topics in a concise, time-saving manner, providing expert insights into orthopaedic research and clinical experience. Comprehensive reviews, special features, and integrated CME provide orthopaedic surgeons with valuable perspectives on surgical practice and the latest advances in the field within twelve subspecialty areas: Basic Science, Education & Training, Elbow, Ethics, Foot & Ankle, Hand & Wrist, Hip, Infection, Knee, Oncology, Pediatrics, Pain Management, Rehabilitation, Shoulder, Spine, Sports Medicine, Trauma.