{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T10:18:32Z","timestamp":1793787512521,"version":"4.6.1"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:00:00Z","timestamp":1763596800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["F30MD019536"],"award-info":[{"award-number":["F30MD019536"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Medicaid provides access to care for low-income patients facing life-threatening illnesses who are cared for in intensive care units (ICUs). Despite the growth of Medicaid coverage with the Affordable Care Act, little is known about Medicaid's role in critical care for the Medicaid Expansion population, adults ages 19-64.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using hospital discharge data from Virginia, we examined payer composition between 2016 and 2023 and analyzed 2023 demographic and clinical data for adults ages 19-64.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Medicaid's share of ICU stays more than doubled from 2016 (14.1%) to 2023 (31.8%). While only 25.6% of Medicaid hospitalizations involved ICU care, these stays account disproportionately for charges (51.7%), hospital days (36.9%), and readmissions (32.3%). Common reasons for admission include potentially preventable conditions: sepsis, diabetes, heart failure, and alcohol use. Medicaid patients, despite being younger than their commercially insured counterparts, have more comorbidities (4+ comorbidities: 49.9% vs 38.9%) and are more likely to be readmitted in adjusted models (29.7% [95% Confidence Interval: 29.1-30.4] vs 24.3% [95% Confidence Interval: 23.6%-25.1%]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This work demonstrates the crucial role of Medicaid as a payer for seriously ill adults and the need for increased attention by Medicaid programs to ICU patients before, during, and after hospitalization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/haschl\/qxaf224","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T13:08:20Z","timestamp":1763557700000},"source":"Crossref","is-referenced-by-count":1,"title":["Medicaid's role in critical care after Medicaid expansion: evidence from Virginia"],"prefix":"10.1093","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3468-3474","authenticated-orcid":false,"given":"Sarah J","family":"Marks","sequence":"first","affiliation":[{"name":"Department of Health Policy, Virginia Commonwealth University , Richmond, VA 23219 ,","place":["United States"]},{"name":"Medical Scientist Training Program, Virginia Commonwealth University , Richmond, VA 23298 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6695-8401","authenticated-orcid":false,"given":"Kristina E","family":"Rudd","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, University of Pittsburgh , Pittsburgh, PA 15213 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8855-5769","authenticated-orcid":false,"given":"Chethan","family":"Bachireddy","sequence":"additional","affiliation":[{"name":"Sciences, University of Houston College of Medicine Department of Health Systems and Population Health , Houston, TX 77204 ,","place":["United States"]},{"name":"Department of Internal Medicine, Baylor College of Medicine , Houston, TX 77030 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie M","family":"Donohue","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, University of Pittsburgh , Pittsburgh, PA 15261 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7026-5181","authenticated-orcid":false,"given":"Derek C","family":"Angus","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, University of Pittsburgh , Pittsburgh, PA 15213 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4226-9310","authenticated-orcid":false,"given":"Theodore J","family":"Iwashyna","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins School of Medicine, Johns Hopkins Bloomberg School of Public Health , Baltimore, MD 21205 ,","place":["United States"]},{"name":"Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health , Baltimore, MD 21205, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J","family":"Barnes","sequence":"additional","affiliation":[{"name":"Department of Health Policy, Virginia Commonwealth University , Richmond, VA 23219 ,","place":["United 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