Hospitals Play Role in COVID-19 Mortality Rates
Findings of a cohort study involving over 44,200 Medicare beneficiaries suggested increased mortality among Black patients hospitalized with COVID-19 was associated with the hospitals at which these patients received care. Researchers looked at data from 1188 US hospitals and found odds of 30-day inpatient mortality or discharge to hospice were 11% higher for Black patients than for White patients. Results were adjusted for sociodemographic and clinical characteristics, and revealed the difference was largely eliminated when researchers adjusted for the hospital where care was received. Simulations showed that if Black patients were admitted to the same hospitals as White patients in the same distribution, their rate of mortality or discharge to hospice would decline.
Medicaid Enrollment Has Grown
Medicaid enrollment grew from 71.3 million in February 2020 to 80.5 million in January 2021, according to Kaiser Health News, with growth attributed to the pandemic-caused recession and a requirement to keep beneficiaries enrolled until the national emergency ends. Overall, more than 9 million people enrolled in the program over the past year. In comparison, around 56 million individuals were enrolled in 2013, prior to several states expanding medicaid under the Affordable Care Act. The program now covers nearly 1 in 4 Americans and has doubled in size since 2001. In total, Medicaid and Medicare cover 43% of the country’s population.