Association of Medicare-Medicaid Dual Eligibility and Race and Ethnicity With Ischemic Stroke Severity

Abstract

Key Points Question Are dual eligibility for Medicare and Medicaid, a proxy for low socioeconomic status, and race and ethnicity associated with stroke severity? Findings In this cross-sectional study of 45 459 Medicare fee-for-service patients with ischemic stroke, Black, Hispanic, and dually eligible patients, including White patients with dual eligibility, had significantly increased likelihood of having a severe stroke. Meaning Based on these findings, it is important that dual-eligible patients, Black patients, and Hispanic patients receive access to timely and high-quality stroke care to improve stroke recovery and long-term outcomes.

Disparities in Pediatric Orthopedic Surgery Care During the COVID-19 Pandemic Pre-vaccine and Post-Vaccine Availability

“…8,9 Importantly, delays in care have been associated with education level, household income, and zip code. [10][11][12] Therefore, COVID-19-related medical care delay or avoidance may further increase morbidity and mortality for treatable and preventable health outcomes, exacerbating existing health inequalities in the United States.…”

“…As of October 2022, over 1 million Americans have died from SARS-CoV-2, and an estimated 40% of US adults reported avoiding medical care during the pandemic 8,9 . Importantly, delays in care have been associated with education level, household income, and zip code 10–12 . Therefore, COVID-19-related medical care delay or avoidance may further increase morbidity and mortality for treatable and preventable health outcomes, exacerbating existing health inequalities in the United States.…”

Was COVID‐19 Associated With Worsening Inequities in Stroke Treatment and Outcomes?

“… 1 Black individuals face a 50% higher likelihood of stroke, 2 a 70% higher population stroke mortality rate, 2 , 3 and suffer more severe strokes than White individuals. 4 , 5 , 6 Additionally, Black individuals are significantly more likely to experience physical disability and dementia than White individuals after a stroke. 7 , 8 , 9 …”

Error in Abstract and Methods

“…In the Original Investigation titled “Association of Medicare-Medicaid Dual Eligibility and Race and Ethnicity With Ischemic Stroke Severity,” published March 31, 2022, there were errors in the Abstract and Methods section. In both places, the range of dates for Medicare data capture should have been reported as October 1, 2016, to December 31, 2017.…”

“…In both places, the range of dates for Medicare data capture should have been reported as October 1, 2016, to December 31, 2017. This article has been corrected …”