Chien-Jung Lin1, Eric Novak1, Michael W. Rich1, Joseph J. Billadello1,2
Congenital Heart Disease, Vol.13, No.3, pp. 384-391, 2018, DOI:10.1111/chd.12582
Abstract Background: Adults with congenital heart disease (ACHD) have traditionally been viewed as an
underinsured population. Whether this is true in the Affordable Care Act era is unknown. We
determined insurance patterns in ACHD patients compared to the non-ACHD cardiology population in a contemporary cohort.
Methods: All cardiology outpatient visits between July 2016 and February 2017 to a large referral
center in the United States were reviewed. The primary payer was categorized as health maintenance organization (HMO), preferred provider organization (PPO), Medicare, Medicaid, self-pay, or
other. Diagnosis and lesion severity of ACHD were extracted from ICD-10 diagnostic codes and
assigned according… More >
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