Hep C treatment initiation low among Medicaid recipients cornell jamanetworkopen
We assigned each zip code to a decile of median family income, based on data from the American Community Survey.We conducted 2 preplanned sensitivity analyses. Because temporary disenrollment is common in Medicaid, we relaxed the enrollment criteria by requiring that individuals were enrolled for more than 1 day in each month .
We examined possible between-state vs within-state differences in 2 ways. First, we added to our regressions dichotomous indicators of a given patient’s residential state at the time of the index month . This approach controls for time-invariant linear trends within each state. We examined how estimated disparities changed after this adjustment.
Because we expected that between-state differences may be driven by Medicaid prior authorization policies in this time period, we specifically controlled for these policies as a second approach. If disparities were largely driven by these policies, we would expect to see attenuated associations between the other covariates and treatment uptake. Otherwise, the results would indicate that other unmeasured factors were driving the between-state differences.
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