Table 1.

Significant reduction in care utilization after insuring dialysis-dependent undocumented individuals in Houston, Texas

BackgroundSeptember 1, 2015 to May 1, 2016
 No. of patients32
 Average age (years)43.6
 Hispanic (%)97
 Men (%)59
 Time on emergent dialysis1.4 yr (511 d)
Processes of careaSeptember 1 to December 1, 2015February 1 to May 1, 2016
 Emergency Department visitsb5965
 Total days hospitalized10119
 Number of blood transfusions333
  • Thirty two undocumented dialysis-dependent individuals previously receiving emergent dialysis obtained commercial health insurance and began to receive scheduled, maintenance hemodialysis on February 1, 2016. This resulted in a statistically significant reduction in utilization of Harris Health hospital resources. All comparisons are statistically significant (P value <0.05) using inverted β-binomial comparison testing.

  • a Insurance was obtained between December 15, 2015 and January 22, 2016. All 32 patients received only emergent dialysis for the 3 months preceding December 1, 2015.

  • b Only includes Emergency Department visits related to dialysis or anemia.