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Letters |7 August 2007

Insurance Coverage and Care of Patients with Non–ST-Segment Elevation Acute Coronary Syndromes

James E. Calvin, MD; Matthew T. Roe, MD, MHS; Eric D. Peterson, MD, MPH

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
  • From Rush University Medical Center, Chicago, IL 60612, and Duke Clinical Research Institute, Durham, NC 27705.

    Potential Financial Conflicts of Interest: None disclosed.

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Dr. Ross points out that our recent study defined insurance status on the basis of the patient's primary insurance provider. Data on the provision of secondary insurance coverage were not collected before 2003. As a result, we cannot distinguish Medicaid patients who were also enrolled in managed care programs or who had dual Medicaid and Medicare coverage. After November 2003, we collected data on multiple insurers but grouped patients in a hierarchy based on 1) managed care, 2) Medicare, and 3) Medicaid. Thus, Dr. Ross is correct in stating that this strategy may have excluded Medicaid patients who...
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Calvin JE, Roe MT, Peterson ED. Insurance Coverage and Care of Patients with Non–ST-Segment Elevation Acute Coronary Syndromes. Ann Intern Med. 2007;147:212. doi: https://doi.org/10.7326/0003-4819-147-3-200708070-00015

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Published: Ann Intern Med. 2007;147(3):212.

DOI: 10.7326/0003-4819-147-3-200708070-00015

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2007 American College of Physicians
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