التفاصيل البيبلوغرافية
| العنوان: |
Community health center utilization following the 2008 medicaid expansion in Oregon: Implications for the affordable care act |
| المؤلفون: |
Hatch, B., Bailey, S.R., Cowburn, S., Marino, M., Angier, H., DeVoe, J.E. |
| المصدر: |
American Public Health Association, American Journal of Public Health. 106(4):645-650 |
| سنة النشر: |
2016 |
| الوصف: |
Objectives. To assess longitudinal patterns of community health center (CHC) utilization and the effect of insurance discontinuity after Oregon's 2008 Medicaid expansion (the Oregon Experiment). Methods.Weconducted a retrospective cohort studywith electronic health records and Medicaid data. We divided individuals who gained Medicaid in the Oregon Experiment into those whomaintained (n = 788) or lost (n = 944) insurance coverage.We compared these groups with continuously insured (n = 921) and continuously uninsured (n = 5416) reference groups for community health center utilization rates over a 36-month period. Results. Both newly insured groups increased utilization in the first 6 months. After 6 months, use among those who maintained coverage stabilized at a level consistent with the continuously insured, whereas it returned to baseline for those who lost coverage. Conclusions. Individuals who maintained coverage through Oregon's Medicaid expansion increased long-termutilization of CHCs,whereas thosewithunstable coverage did not. Policy implications. This study predicts long-term increase in CHC utilization following Affordable Care Act Medicaid expansion and emphasizes the need for policies that support insurance retention. |
| نوع الوثيقة: |
redif-article |
| اللغة: |
English |
| DOI: |
10.2105/AJPH.2016.303060 |
| الإتاحة: |
https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2016.303060_7.html |
| رقم الأكسشن: |
edsrep.a.aph.ajpbhl.10.2105.ajph.2016.303060.7 |
| قاعدة البيانات: |
RePEc |
