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Insurance Coverage and Care of Patients with Non–ST-Segment Elevation Acute Coronary Syndromes
- Joseph S. Ross, MD, MHS
- From Mount Sinai School of Medicine and James J. Peters Veterans Affairs Medical Center, New York, NY 10029.
TO THE EDITOR:
Calvin and colleagues (1) report that patients insured by Medicaid (but not Medicare) were less likely to receive evidence-based care for non–ST-segment elevation acute coronary syndromes than were patients insured by health maintenance organizations or other private payers. However, the authors did not distinguish whether patients received Medicaid coverage through a managed care program—an important limitation. In 2001, at the time of study enrollment, Medicaid provided health coverage to nearly 34 million Americans, 18.8 million (56%) of whom were …
