Patel N, et al. - Researchers used the 2012-2015 National Inpatient Sample to investigate the rates of revascularization and in-hospital mortality among Medicaid beneficiaries (n=42,645) vs privately insured (n=171,545) individuals hospitalized with ST-segment–elevation myocardial infarction (STEMI). Hospitalizations including individuals aged <18 or ≥65 years, those who were transferred to another acute care facility, and those left against medical advice were excluded. Considering demographics, socioeconomic status (income based), clinical comorbidities, including drug and alcohol use, STEMI acuity (cardiac arrest and cardiogenic shock), and hospital characteristics, outcomes were compared in propensity score–matched cohort. Lower rates of coronary revascularization (88.9% vs 92.3%) and higher rates of in-hospital mortality (4.9% vs 2.8%) were observed in Medicaid beneficiaries with STEMI vs privately insured individuals in unadjusted analyses. Even after extensive matching in a propensity-matched cohort of 40,870 hospitalizations per group, Medicaid beneficiaries vs privately insured individuals showed similar results for lower rates of revascularization (89.1% vs 91.1%) and higher in-hospital mortality (4.9% vs 3.7%).