Role of health insurance and neighborhood-level social deprivation on hypertension control following the affordable care act health insurance opportunities.

ABSTRACT:

Objectives

To understand if neighborhood-level social deprivation moderates the association between gaining health insurance and improved hypertension control.

Methods

We used electronic health record (EHR) data from the Accelerating Data Value Across a National Community Health Center Network (ADVANCE) clinical data research network from five states that expanded Medicaid eligibility (CA, OH, OR, WA, WI). We include patients with hypertension aged 19-64. Controlled hypertension was assessed for four groups pre-(1/1/2012-12/31/2013) to post-(1/1/2014-12/31/2017) Affordable Care Act (ACA) Medicaid expansion: (1) newly insured, (2) continuously insured, (3) discontinuously insured, and (4) continuously uninsured. We also used Social Deprivation Index score to derive predicted

SUBMITTER: H A 

PROVIDER: S-EPMC7738386 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature