TABLE 3.
Regression covariate estimates for the difference-in-difference regression model.
| Parameter | Estimate | Std Error | 95% Confidence Interval | p value |
|---|---|---|---|---|
| Illinois (reference: Missouri) | 0.00926 | 0.00698 | −0.00448, 0.02300 | 0.186 |
| Hlinois*2011 | ||||
| Illinois*2012 | −0.00105 | 0.00274 | −0.00645, 0.00435 | 0.702 |
| Illinois*2013 | −0.00250 | 0.00337 | −0.00914, 0.00413 | 0.458 |
| Illinois*2014 | 0.00163 | 0.00452 | −0.00727, 0.01053 | 0.719 |
| Illinois*2015 | 0.00895 | 0.00529 | −0.00147, 0.01938 | 0.092 |
| Illinois*2016 | 0.01405 | 0.00555 | 0.00312, 0.02499 | 0.012 |
| Area Deprivation Index | 0.00065 | 0.00013 | 0.00038, 0.00091 | 0.000 |
| Number of orthopedic surgeons | 0.00004 | 0.00002 | 0.00000, 0.00008 | 0.041 |
| Female (reference: male) | 0.00977 | 0.00119 | 0.00742, 0.01212 | 0.000 |
| Age | −0.00306 | 0.00031 | −0.00366, −0.00246 | 0.000 |
| Herfindahl-Hirschman Index | 0.02011 | 0.01167 | −0.00294, 0.04315 | 0.087 |
| Pairwise comparisons of interaction terms | Contrast sum of squares | Std Error | T value | p value |
| niinois*2012 vs Illinois*2013 | 0.00146 | 0.00240 | 0.61 | 0.544 |
| Illinois*2014 vs Illinois*2013 | 0.00413 | 0.00316 | 1.31 | 0.192 |
| Illinois*2015 vs Illinois*2013 | 0.01146 | 0.00377 | 3.04 | 0.003 |
| Illinois*2016 vs Illinois*2013 | 0.01656 | 0.00393 | 4.21 | <0.001 |
Individual years (without state interaction) and model intercept were also included in the regression model, but are not shown here. State*year interaction terms demonstrate a statistically significant downward associations in Medicaid-funded orthopaedic surgeries prior to the date of Medicaid expansion in Illinois (January 1,2014) and significant upward associations in the post-expansion years. Pairwise comparisons of the state*year interaction variable in post-expansion years vs 2013 are included at the bottom of the table.