Abstract
Objectives. To assess longitudinal patterns of community health center (CHC) utilization and the effect of insurance discontinuity after Oregon's 2008 Medicaid expansion (the Oregon Experiment). Methods.Weconducted a retrospective cohort studywith electronic health records and Medicaid data. We divided individuals who gained Medicaid in the Oregon Experiment into those whomaintained (n = 788) or lost (n = 944) insurance coverage.We compared these groups with continuously insured (n = 921) and continuously uninsured (n = 5416) reference groups for community health center utilization rates over a 36-month period. Results. Both newly insured groups increased utilization in the first 6 months. After 6 months, use among those who maintained coverage stabilized at a level consistent with the continuously insured, whereas it returned to baseline for those who lost coverage. Conclusions. Individuals who maintained coverage through Oregon's Medicaid expansion increased long-termutilization of CHCs,whereas thosewithunstable coverage did not. Policy implications. This study predicts long-term increase in CHC utilization following Affordable Care Act Medicaid expansion and emphasizes the need for policies that support insurance retention.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 645-650 |
| Number of pages | 6 |
| Journal | American Journal of Public Health |
| Volume | 106 |
| Issue number | 4 |
| DOIs | |
| State | Published - Apr 1 2016 |
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ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
Community health center utilization following the 2008 medicaid expansion in Oregon : Implications for the affordable care act. / Hatch, Brigit; Bailey, Steffani; Cowburn, Stuart; Marino, Miguel; Angier, Heather; Devoe, Jennifer.
In: American Journal of Public Health, Vol. 106, No. 4, 01.04.2016, p. 645-650.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Community health center utilization following the 2008 medicaid expansion in Oregon
T2 - Implications for the affordable care act
AU - Hatch, Brigit
AU - Bailey, Steffani
AU - Cowburn, Stuart
AU - Marino, Miguel
AU - Angier, Heather
AU - Devoe, Jennifer
PY - 2016/4/1
Y1 - 2016/4/1
N2 - Objectives. To assess longitudinal patterns of community health center (CHC) utilization and the effect of insurance discontinuity after Oregon's 2008 Medicaid expansion (the Oregon Experiment). Methods.Weconducted a retrospective cohort studywith electronic health records and Medicaid data. We divided individuals who gained Medicaid in the Oregon Experiment into those whomaintained (n = 788) or lost (n = 944) insurance coverage.We compared these groups with continuously insured (n = 921) and continuously uninsured (n = 5416) reference groups for community health center utilization rates over a 36-month period. Results. Both newly insured groups increased utilization in the first 6 months. After 6 months, use among those who maintained coverage stabilized at a level consistent with the continuously insured, whereas it returned to baseline for those who lost coverage. Conclusions. Individuals who maintained coverage through Oregon's Medicaid expansion increased long-termutilization of CHCs,whereas thosewithunstable coverage did not. Policy implications. This study predicts long-term increase in CHC utilization following Affordable Care Act Medicaid expansion and emphasizes the need for policies that support insurance retention.
AB - Objectives. To assess longitudinal patterns of community health center (CHC) utilization and the effect of insurance discontinuity after Oregon's 2008 Medicaid expansion (the Oregon Experiment). Methods.Weconducted a retrospective cohort studywith electronic health records and Medicaid data. We divided individuals who gained Medicaid in the Oregon Experiment into those whomaintained (n = 788) or lost (n = 944) insurance coverage.We compared these groups with continuously insured (n = 921) and continuously uninsured (n = 5416) reference groups for community health center utilization rates over a 36-month period. Results. Both newly insured groups increased utilization in the first 6 months. After 6 months, use among those who maintained coverage stabilized at a level consistent with the continuously insured, whereas it returned to baseline for those who lost coverage. Conclusions. Individuals who maintained coverage through Oregon's Medicaid expansion increased long-termutilization of CHCs,whereas thosewithunstable coverage did not. Policy implications. This study predicts long-term increase in CHC utilization following Affordable Care Act Medicaid expansion and emphasizes the need for policies that support insurance retention.
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U2 - 10.2105/AJPH.2016.303060
DO - 10.2105/AJPH.2016.303060
M3 - Article
VL - 106
SP - 645
EP - 650
JO - American Journal of Public Health
JF - American Journal of Public Health
SN - 0090-0036
IS - 4
ER -