[Skip to Content]
[Skip to Content Landing]
Views 49
Citations 0
Invited Commentary
January 2, 2019

Medicaid Expansion Offers Hope for Improved Postinjury Rehabilitation Among the Underserved

Author Affiliations
  • 1Department of Surgery, Harbor-UCLA Medical Center, Torrance, California
JAMA Surg. Published online January 2, 2019. doi:10.1001/jamasurg.2018.5178

Access to, and the provision of, specialized post–short-term care services are critical components of the trauma care continuum aimed at maximizing optimal functional recovery and quality of life for patients with injuries. The association between insurance status and access to rehabilitation services is well documented. Families with low incomes, underrepresented minorities, those with limited English proficiency, and the uninsured face significant barriers in the availability and proximity of outpatient rehabilitation services. The reality is that economic and financial incentives may outweigh medical need and necessity.1,2 The Affordable Care Act (ACA) and its provisions were designed to improve access to care through improved insurance coverage and reductions in health care inequities and disparities. However, heterogeneity in implementation by state confers difficulty in studying the association of Medicaid expansion with outcomes in trauma patients, specifically regarding access to rehabilitation.3

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×