Uninsured Primary Care Visit Disparities Under the Affordable Care Act.

ABSTRACT:

Purpose

Health insurance coverage affects a patient's ability to access optimal care, the percentage of insured patients on a clinic's panel has an impact on the clinic's ability to provide needed health care services, and there are racial and ethnic disparities in coverage in the United States. Thus, we aimed to assess changes in insurance coverage at community health center (CHC) visits after the Patient Protection and Affordable Care Act (ACA) Medicaid expansion by race and ethnicity.

Methods

We undertook a retrospective, observational study of visit payment type for CHC patients aged 19 to 64 years. We used electronic health record data from 10 states that expanded Medicaid and 6 states that did not, 359 CHCs, and 870,319 patients with more than 4 million visits. Our ana

SUBMITTER: Angier H 

PROVIDER: S-EPMC5593726 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature