Medicaid Expansion Produces Long-Term Impact on Insurance Coverage Rates in Community Health Centers

Journal of Primary Care & Community Health
Nathalie HuguetJennifer E DeVoe

Abstract

It is crucial to understand the impact of the Affordable Care Act (ACA). This study assesses changes in insurance status of patients visiting community health centers (CHCs) comparing states that expanded Medicaid to those that did not. Electronic health record data on 875,571 patients aged 19 to 64 years with ≥ 1 visit between 2012 and 2015 in 412 primary care CHCs in 9 expansion and 4 nonexpansion states. We assessed changes in rates of total, uninsured, Medicaid-insured, and privately insured primary care and preventive care visits; immunizations administered, and medications ordered. Rates of uninsured visits decreased pre- to post-ACA, with greater drops in expansion (-57%) versus nonexpansion (-20%) states. Medicaid-insured visits increased 60% in expansion states while remaining unchanged in nonexpansion states. Privately insured visits were 2.7 times higher post-ACA in nonexpansion states with no increase in expansion states. Comparing 2015 with 2014: Uninsured visit rates continued to decrease in expansion (-28%) and nonexpansion states (-19%), Medicaid-insured rates did not significantly increase, and privately insured visits increased in nonexpansion states but did not change in expansion states. Medicaid expansion a...Continue Reading

References

Jul 31, 2013·The American Journal of Orthopsychiatry·Robin J Kimbrough-Melton
Mar 13, 2014·The Journal of Ambulatory Care Management·Rachel GoldJennifer E DeVoe
May 14, 2014·Journal of the American Medical Informatics Association : JAMIA·Jennifer E DeVoeScott Fields
Jan 15, 2015·Annals of Family Medicine·Heather AngierJennifer E DeVoe
Jan 22, 2015·The New England Journal of Medicine·Daniel PolskyKarin V Rhodes
Jan 15, 2016·The Journal of Ambulatory Care Management·Megan J HoopesJennifer E DeVoe
Jun 21, 2016·American Journal of Preventive Medicine· Community Preventive Services Task Force

❮ Previous
Next ❯

Citations

May 28, 2019·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Steffani R BaileyNathalie Huguet
Dec 21, 2019·Diabetes Care·Stephan R LindnerNathalie Huguet
Aug 21, 2019·Frontiers in Public Health·Michael ZhangGisela Bretones
Jan 4, 2020·Journal of General Internal Medicine·Alyssa Shell TilhouHeather Angier
Jan 10, 2021·Disability and Health Journal·Stephan LindnerWilli Horner-Johnson
Feb 13, 2021·American Journal of Surgery·Jason TongRachel R Kelz
Jul 28, 2021·International Journal for Equity in Health·Yilu LinLizheng Shi

❮ Previous
Next ❯

Software Mentioned

SAS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.