Utilization of Community Health Centers in Medicaid Expansion and Nonexpansion States, 2013-2014

The Journal of Ambulatory Care Management
Megan J HoopesJennifer E DeVoe

Abstract

Using electronic health record data, we examined longitudinal changes in community health center (CHC) visit rates from 2013 through 2014 in Medicaid expansion versus nonexpansion states. Visits from 219 CHCs in 5 expansion states and 4 nonexpansion states were included. Rates were computed using generalized estimating equation Poisson models. Rates increased in expansion state CHCs for new patient, preventive, and limited-service visits (14%, 41%, and 23%, respectively, P < .01 for all), whereas these rates remained unchanged in nonexpansion states. One year after ACA Medicaid expansions, CHCs in expansion states saw an influx of new patients and provided increased preventive services.

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Citations

May 18, 2017·Journal of Primary Care & Community Health·Nathalie HuguetJennifer E DeVoe
Apr 5, 2017·Journal of General Internal Medicine·Brigit HatchJennifer E DeVoe
May 14, 2019·Medical Care Research and Review : MCRR·Brendan SalonerJonathan Levin
Dec 21, 2019·Diabetes Care·Stephan R LindnerNathalie Huguet
Nov 7, 2018·Health Services Research·Brendan SalonerGenevieve M Kenney
Jan 4, 2020·Journal of General Internal Medicine·Alyssa Shell TilhouHeather Angier
Jul 19, 2020·Journal of Health Organization and Management·Seongwon ChoiThomas Powers
Jun 4, 2021·Medical Care·Kathleen CareyAvi Dor
Oct 1, 2021·Circulation. Cardiovascular Quality and Outcomes·Blake T McGeeGregg C Fonarow
Dec 17, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Blake T McGeeWilliam S Custer

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