The Affordable Care Act requires that health insurance covers a range of services similar to those covered by Massachusetts reform.28 Some details differ between the two insurance reforms pandora essence, such as the extent of the Medicaid expansion and the proposed penalty for those who do not obtain coverage.We examined readmission rates among patients aged 18 64; we did not include patients aged 65 and older since most are covered by Medicare, and hence are unlikely to have been affected by Massachusetts health reform. We sought to determine whether readmission rates changed differentially in Massachusetts compared with two control states, New York and New Jersey, which did not expand coverage during the study period. We also examined whether disparities in readmission rates changed subsequent to reform, hypothesizing that minority groups in Massachusetts might stand to benefit the most, as they are at increased risk for readmissions4 and made the most gains in terms of insurance coverage.

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