Prevalence of Pre-existing Conditions Among Community Health Center Patients Before and After the Affordable Care Act.

ABSTRACT:

Objective

To assess the prevalence of pre-existing conditions for community health center (CHC) patients who gained insurance coverage post-Affordable Care Act (ACA).

Methods

We analyzed electronic health record data from 78,059 patients aged 19 to 64 uninsured at their last visit pre-ACA from 386 CHCs in 19 states. We compared the prevalence and types of pre-existing conditions pre-ACA (2012 to 2013) and post-ACA (2014 to 2015), by insurance status and race/ethnicity.

Results

Pre-ACA, >50% of patients in the cohort had ≥1 Pre-existing condition. Post-ACA, >70% of those who gained insurance coverage had ≥1 condition. Post-ACA, all racial/ethnic subgroups showed an increase in the number of pre-existing conditions, with non-Hispanic Black and Hispanic patients experien

SUBMITTER: Huguet N 

PROVIDER: S-EPMC7001872 | biostudies-literature | 2019 Nov-Dec

REPOSITORIES: biostudies-literature