title: Excluded from universal coverage: ESRD patients not covered by Medicare.
abstract: Medicaid is believed to serve as the major insurer for end stage renal disease (ESRD) patients who are ineligible for Medicare coverage. Demographics, receipt of dialysis services, and costs of Medicaid-only populations were compared with Medicare ESRD populations in California, Georgia, and Michigan. Notable differences in patient demographics, dialysis practice patterns, and inpatient health resource utilization between the Medicaid and Medicare ESRD populations were observed. Medicaid expenditures for Medicare-ineligible ESRD patients were considerable: in 1991, California spent $46.4 million for 1,239 ESRD patients; Georgia and Michigan each spent nearly $5 million for approximately 140 ESRD patients.
authors.affiliation: Medical Technology and Practice Patterns Institute, Washington, DC 20007, USA.
authors.forename: M
authors.initials: M
authors.lastname: Thamer
authors.forename: N F
authors.initials: NF
authors.lastname: Ray
authors.forename: C
authors.initials: C
authors.lastname: Richard
authors.forename: J W
authors.initials: JW
authors.lastname: Greer
authors.forename: B C
authors.initials: BC
authors.lastname: Pearson
authors.forename: D J
authors.initials: DJ
authors.lastname: Cotter
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S.; D004608:Eligibility Determination; D005260:Female; D005102:Health Expenditures; D006297:Health Services Accessibility / Q000191:economics / Q000706:statistics & numerical data*; D006760:Hospitalization; D006801:Humans; D007676:Kidney Failure, Chronic / Q000191:economics* / Q000628:therapy; D007902:Length of Stay; D008297:Male; D008484:Medicaid / Q000706:statistics & numerical data*; D017057:Medically Uninsured / Q000706:statistics & numerical data*; D006278:Medicare / Q000706:statistics & numerical data*; D006435:Renal Dialysis / Q000191:economics / Q000706:statistics & numerical data; D017582:Renal Replacement Therapy / Q000191:economics / Q000706:statistics & numerical data; D014481:United States; D014600:Utilization Review