Protocol for the analysis of a natural experiment on the impact of the Affordable Care Act on diabetes care in community health centers.

ABSTRACT:

Background

It is hypothesized that Affordable Care Act (ACA) Medicaid expansions could substantially improve access to health insurance and healthcare services for patients at risk for diabetes mellitus (DM), with pre-DM, or already diagnosed with DM. The ACA called for every state to expand Medicaid coverage by 2014. In a 2012 legal challenge, the US Supreme Court ruled that states were not required to implement Medicaid expansions. This 'natural experiment' presents a unique opportunity to learn whether and to what extent Medicaid expansion can affect healthcare access and services for patients with DM risk, pre-DM, or DM.

Methods/design

Data from electronic health records (EHRs) from the Accelerating Data Value Across a National Community Health Center Network (ADVANCE) c

SUBMITTER: Huguet N 

PROVIDER: S-EPMC5301438 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature