ArticleJournal of health care for the poor and underserved2019
Racial/Ethnic Disparities in Health Insurance and Differences in Visit Type for a Population of Patients with Diabetes after Medicaid Expansion.
Article in Journal of health care for the poor and underserved, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02685384 (Post ACA Reform), which is not on this map. Cited by 24 papers.
What it found
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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.
Post ACA Reform: Evaluation of Community Health Center Care of Diabetes
Who cites it
24 citing papers in PubMed.
- Prevalence of Colorectal Cancer Screening Among Latino Adults Following the Medicaid Eligibility Amendment Expansion.JAMA network open · 2026Article
- Negative control-calibrated difference-in-difference analyses: addressing unmeasured confounding in RWD with application to racial/ethnic differences.NPJ digital medicine · 2025Article
- From inequalities to solutions: an explanatory sequential study on type 2 diabetes health services utilization.BMC health services research · 2025Article
- Exploring the Social Determinants of Mental Health by Race and Ethnicity in Army Wives.Journal of racial and ethnic health disparities · 2024Article
- Health and Racial Disparities in Diabetes Mellitus Prevalence, Management, Policies, and Outcomes in the United States.Journal of community medicine & public health · 2024Article
- A Scoping Review of Possible Solutions for Decreasing Socioeconomic Inequalities in Type 2 Diabetes Mellitus.International journal of preventive medicine · 2024Article
- Trends and Race/Ethnic Disparities in Diabetes-Related Hospital Use in Medicaid Enrollees: Analyses of Serial Cross-sectional State Data, 2008-2017.Journal of general internal medicine · 2023Article
- Disparities in diabetes prevalence and management by race and ethnicity in the USA: defining a path forward.The lancet. Diabetes & endocrinology · 2023Review
- Factors Associated With Blood Pressure Control Among Patients in Community Health Centers.American journal of preventive medicine · 2023Article
- Analysis of State Medicaid Expansion and Access to Timely Prenatal Care Among Women Who Were Immigrant vs US Born.JAMA network open · 2022Article
- Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S.Diabetes care · 2022Observational
- Affordable Care Act Medicaid expansion and access to primary-care based smoking cessation assistance among cancer survivors: an observational cohort study.BMC health services research · 2022Observational
- Rates of Diabetes-Related Major Amputations Among Racial and Ethnic Minority Adults Following Medicaid Expansion Under the Patient Protection and Affordable Care Act.JAMA network open · 2022Article
- Effectiveness of an insurance enrollment support tool on insurance rates and cancer prevention in community health centers: a quasi-experimental study.BMC health services research · 2021Observational
- Identifying priority and bright spot areas for improving diabetes care: a geospatial approach.Family medicine and community health · 2021Article
- Rates of Undiagnosed Hypertension and Diagnosed Hypertension Without Anti-hypertensive Medication Following the Affordable Care Act.American journal of hypertension · 2021Article
- Association of Medicaid Expansion With 5-Year Changes in Hypertension and Diabetes Outcomes at Federally Qualified Health Centers.JAMA health forum · 2021Article
- Oral corticosteroid use, obesity, and ethnicity in children with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020Article
- Observational
- Coverage, Affordability, and Care for Low-Income People with Diabetes: 4 Years after the Affordable Care Act's Medicaid Expansions.Journal of general internal medicine · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
This quasi-experimental study evaluated racial/ethnic disparities in health insurance and differences in visits post-versus pre-Affordable Care Act (ACA) Medicaid expansion. We utilized electronic health record data from a population of patients with diabetes aged 19-64 seen in community health centers (CHCs). We used generalized estimating equation Poisson models to estimate incidence rates of insurance type and visits post-(1/1/2014-12/31/2015) versus pre-(1/1/13-12/31/13) ACA, stratified by racial/ethnic group. We assessed difference-in-differences (DD) and difference-in-difference-in-differences (DDD). The relative disparity in uninsured visits increased between Hispanic and non-Hispanic Whites in expansion states (DD=1.93; 95% CI=1.41, 2.64); the magnitude was greater in expansion compared with non-expansion states (DDD=1.84, 95% CI=1.32, 2.56), yet uninsured rates were lower in expansion compared with non-expansion states. We found few changes in visits. Results suggest that the ACA Medicaid expansion increased health insurance coverage and that while some racial/ethnic disparities were improved, some remained.
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