Video Experimental Relacionado

Updated: Jan 31, 2026

Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis

Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis

Published on: June 30, 2023

Cambios en la mezcla de pagadores del departamento de emergencias entre niños después de la desvinculación de

Theodoros V Giannouchos^1,2, Nima Khodakarami³, Daniel Marthey⁴

¹Department of Health Policy and Organization, School of Public Health, The University of Alabama at Birmingham, Birmingham, Alabama, USA.

Health services research

|January 30, 2026

Abstracto

Objective:

To examine trends in children's emergency department (ED) visits' payer mix before and after Texas initiated Medicaid unwinding.

Study Setting And Design:

We conducted a retrospective, secondary data analysis of children's ED visits in Texas, aggregated at the facility level. We analyzed trends in ED visit payer mix before and after Texas initiated unwinding and employed an interrupted time series design to examine the association between unwinding and ED visit payer mix.

Data Sources And Analytic Sample:

We used data from the Texas Emergency Department Public Use Data Files encompassing all children's ED visits between 2021 Q2 and 2024 Q2 and included 7.6 million visits from 472 facilities.

Principal Findings:

Average quarterly visits per facility increased from 1225.2 at baseline to 1254.8 visits during the post-unwinding period (p < 0.001). The average share of quarterly Medicaid visits declined by 11.7% (-7.2 pp.; from 64.3% to 57.1%, p < 0.001) in the post- relative to the pre-unwinding period. This decline was split between a 12.5% increase in the average share of quarterly ED visits attributed to commercial plans (3.4 pp.; from 26.0% to 29.4%, p < 0.001) and a 45.2% increase in the share attributed to uninsured children (3.8 pp.; from 6.9% to 10.7%, p < 0.001).

Conclusions:

Unwinding was associated with decreased ED visit share for Medicaid among children, while commercial and uninsured ED visit shares increased.

Palabras clave:

acceso niños cobertura hospitales desvinculación de Medicaid ingresos

Más Videos Relacionados

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department

Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department

Published on: January 29, 2011

Videos de Conceptos Relacionados

Emerging Adulthood

Emerging Adulthood

Jeffrey Arnett's concept of emerging adulthood offers a framework to understand the unique developmental stage between adolescence and full-fledged adulthood, generally from ages 18 to 25. This period is marked by extensive exploration and shifts in identity, relationships, and career choices, a process known in psychology as role experimentation. Emerging adulthood reflects the evolving cultural expectations surrounding adulthood and the dynamic process of personal transformation during...

Introduction Cardiac Emergencies

Introduction Cardiac Emergencies

Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...

Mixing Concrete

Mixing Concrete

Concrete mixing ensures a homogenous blend where aggregates are well-coated with cement paste. Concrete mixing is typically done using two main types of mixers: batch and continuous. Batch mixers handle one batch at a time, thoroughly combining materials before discharging and receiving the next batch. In contrast, continuous mixers receive a steady flow of ingredients, mixing them consistently and discharging without interruption. Within batch mixers, tilting drum mixers mix with internal...

Mixing Time

Mixing Time

The concept of mixing time is significant in producing a uniform concrete mix with the required strength. The mixing period starts once all components are in the mixer. Initially, the mixer is charged with 10% of the water, followed by the consistent addition of solids and then 80% of the water. The remaining water is added later, within the first quarter of the mixing period. The minimum mixing time varies according to the mixer's capacity; for example, mixers with up to 1 cubic yard...

Ready Mixed Concrete

Ready Mixed Concrete

Ready-mixed concrete, also known as pre-mixed concrete, is prepared in a centralized plant and then transported in trucks to construction sites where it is ready for placement. This type of concrete is categorized into central-mixed, truck-mixed (or transit-mixed), and shrink-mixed. Central-mixed concrete is entirely prepared at a plant and moved to the site in agitator trucks that rotate at a speed of 2 to 6 rpm. Truck-mixed concrete, on the other hand, has the ingredients batched at the plant...

Applications of GIS: Disaster Management and Emergency Response

Applications of GIS: Disaster Management and Emergency Response

Geographic Information System (GIS) technology is essential for risk identification, action prioritization, and resource optimization in critical situations like flooding and earthquakes. By integrating spatial and demographic data, GIS provides a comprehensive framework for emergency response.GIS integrates data layers, like rainfall intensity, topography, elevation profiles, and river levels, to model high-risk flood zones. These layers assess areas susceptible to flooding based on their...