Disparities in Biomarkers for Patients With Diabetes After the Affordable Care Act.

ABSTRACT:

Background

Racial and ethnic minorities are disproportionately affected by diabetes and at greater risk of experiencing poor diabetes-related outcomes compared with non-Hispanic whites. The Affordable Care Act (ACA) was implemented to increase health insurance coverage and reduce health disparities.

Objective

Assess changes in diabetes-associated biomarkers [hemoglobin A1c (HbA1c) and low-density lipoprotein] 24 months pre-ACA to 24 months post-ACA Medicaid expansion by race/ethnicity and insurance group.

Research design

Retrospective cohort study of community health center (CHC) patients.

Subjects

Patients aged 19-64 with diabetes living in 1 of 10 Medicaid expansion states with ≥1 CHC visit and ≥1 HbA1c measurement in both the pre-ACA and the post-ACA time pe

SUBMITTER: Marino M 

PROVIDER: S-EPMC7365657 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature