Evidence map›Paper›PMID 31649097›Full record

ArticleDiabetes care2020

The Impact of Medicaid Expansion on Diabetes Management.

Jusung Lee, Timothy Callaghan, Marcia Ory, Hongwei Zhao, Jane N Bolin

Open access · bronzeAbstract readHistorical Article
In one paragraph

Article in Diabetes care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
14.2field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Association Between Diabetes Management Behaviors and State-Level Social Vulnerability: A Cross-sectional Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025
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  8. Review
  9. Association Between Food Insecurity and Inability to Obtain Provider-Recommended Medications, Multidisciplinary Services, and Technology in Youth and Young Adults With Diabetes: A Cross-Sectional Study.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025
    Article
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  15. Article
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  17. Reasons for Not Pursuing Virtual Prenatal Care in 2020 Through 2021 and Policy Implications.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023
    Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Jusung LeeDepartment of Health Policy and Management, School of Public Health, Texas A&M University, College Station, TX lee14@tamu.edu.ORCID 0000-0002-9099-3899
Timothy CallaghanDepartment of Health Policy and Management, School of Public Health, Texas A&M University, College Station, TX.ORCID 0000-0002-9056-9123
Marcia OryDepartment of Environmental and Occupational Health, School of Public Health, Texas A&M University, College Station, TX.
Hongwei ZhaoDepartment of Epidemiology and Biostatistics, School of Public Health, Texas A&M University, College Station, TX.
Jane N BolinDepartment of Health Policy and Management, School of Public Health, Texas A&M University, College Station, TX.
Texas A&M University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDiabetes is a chronic health condition contributing to a substantial burden of disease. According to the Robert Wood Johnson Foundation, 10.9 million people were newly insured by Medicaid between 2013 and 2016. Considering this coverage expansion, the Affordable Care Act (ACA) could significantly affect people with diabetes in their management of the disease. This study evaluates the impact of the Medicaid expansion under the ACA on diabetes management. RESEARCH DESIGN AND

methodsThis study includes 22,335 individuals with diagnosed diabetes from the 2011 to 2016 Behavioral Risk Factor Surveillance System. It uses a difference-in-differences approach to evaluate the impact of the Medicaid expansion on self-reported access to health care, self-reported diabetes management, and self-reported health status. Additionally, it performs a triple-differences analysis to compare the impact between Medicaid expansion and nonexpansion states considering diabetes rates of the states.

resultsSignificant improvements in Medicaid expansion states as compared with non-Medicaid expansion states were evident in self-reported access to health care (0.09 score;

conclusionsThe Medicaid expansion has significant positive effects on self-reported diabetes management. While states with large diabetes populations that expanded Medicaid have experienced substantial improvements in self-reported diabetes management, non-Medicaid expansion states with high diabetes rates may be facing health inequalities. The findings provide policy implications for the diabetes care community and policy makers.

Indexed as

Health Services AccessibilityPatient Protection and Affordable Care ActAdolescentAdultBehavioral Risk Factor Surveillance SystemChronic DiseaseDiabetes MellitusFemaleHealth StatusHistory, 20th CenturyHistory, 21st CenturyHumansImplementation ScienceInsurance CoverageMaleMedicaid

Identifiers

PMID31649097
PMCPMC7171935
OpenAlexW2982217749

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.