ArticleHealth affairs (Project Hope)2018
Medicaid Expansion And Community Health Centers: Care Quality And Service Use Increased For Rural Patients.
Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Association of Economic Policies With Hypertension Management and Control: A Systematic Review.JAMA health forum · 2024Pooled it
- Cancer screening educational interventions in rural and farmworker communities: a systematic literature review.Ethnicity & health · 2023Pooled it
- Impact of Alternative Payment Models on Quality of Care in Federally Qualified Health Centers From 2014 to 2024: A 2-stage Difference-in-Differences Analysis.Medical care · 2026Article
- Cervical Cancer Screening and Prevention among Latinas in the United States among a Network of Community Health Centers.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026Article
- Rural Health at a Crossroads: How Policymakers Have Failed Rural America and What Can Be Done for a Healthier Tomorrow.The Milbank quarterly · 2026Article
- What drives patients' preferences for cancer care in South Korea's capital area? A study on preferences concerning cancer care facilities.BMC health services research · 2026Article
- Article
- Health care access barriers among metropolitan and nonmetropolitan populations of eight geographically diverse states, 2018.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Differences in medicaid expansion effects on buprenorphine treatment utilization by county rurality and income: A pharmacy data claims analysis from 2009-2018.Drug and alcohol dependence reports · 2023Article
- Evaluating the accessibility and value of U.S. ambulatory care among Medicaid expansion states and non-expansion states, 2012-2015.BMC health services research · 2023Article
- Health center use and hospital-based care among individuals dually enrolled in Medicare and Medicaid, 2012-2018.Health services research · 2022Article
- Health Centers and Value-Based Payment: A Framework for Health Center Payment Reform and Early Experiences in Medicaid Value-Based Payment in Seven States.The Milbank quarterly · 2022Article
- Estimating the Impact of Medicaid Expansion and Federal Funding Cuts on FQHC Staffing and Patient Capacity.The Milbank quarterly · 2022Article
- Impact of the Affordable Care Act Medicaid expansion on oral surgery delivery at community health centers: an observational study.BMC oral health · 2021Observational
- Association of Medicaid Expansion With 5-Year Changes in Hypertension and Diabetes Outcomes at Federally Qualified Health Centers.JAMA health forum · 2021Article
- Receipt of Social Needs Assistance and Health Center Patient Experience of Care.American journal of preventive medicine · 2021Article
- New hypertension and diabetes diagnoses following the Affordable Care Act Medicaid expansion.Family medicine and community health · 2020Article
- Technology-facilitated care coordination in rural areas: What is needed?International journal of medical informatics · 2020Article
- The Affordable Care Act Medicaid Expansion Positively Impacted Community Health Centers and Their Patients.Journal of general internal medicine · 2020Article
- Study protocol: a mixed-methods study of women's healthcare in the safety net after Affordable Care Act implementation - EVERYWOMAN.Health research policy and systems · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
Medicaid expansion had great potential to affect community health centers (CHCs), particularly in rural areas, because their patients are predominantly low income and disproportionately uninsured. Using data for 2011-15 on all CHCs, we found that after two years Medicaid expansion was associated with an 11.44-percentage-point decline in the share of CHC patients who were uninsured and a 13.15-percentage-point increase in the share with Medicaid. Changes in quality and volume were consistently observed in rural CHCs in expansion states, which had relative improvements in asthma treatment, body mass index screening and follow-up, and hypertension control, along with substantial increases in volumes for eighteen of twenty-one types of visits-particularly those for mammograms, abnormal breast findings, alcohol-related disorder, and other substance abuse disorder. Similar relative gains were not observed in urban CHCs in expansion states. Repealing or phasing out Medicaid expansion could reverse observed gains in quality and service use and could be particularly detrimental to low-income rural populations.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.