Utilization of community health centers in medicaid expansion and Nonexpansion States, 2013-2014

Megan J. Hoopes, Heather Angier, Rachel Gold, Steffani R. Bailey, Nathalie Huguet, Miguel Marino, Jennifer E. DeVoe

Research output: Contribution to journalArticle

23 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)290-298
Number of pages9
JournalJournal of Ambulatory Care Management
Volume39
Issue number4
DOIs
StatePublished - Sep 1 2016

Keywords

  • Affordable Care Act
  • Medicaid
  • ambulatory care
  • community health centers
  • health insurance
  • uninsured

ASJC Scopus subject areas

  • Health Policy

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