ArticleJournal of general internal medicine2020
The Affordable Care Act Medicaid Expansion Positively Impacted Community Health Centers and Their Patients.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Concept Analysis and Proposed Definition ofJournal of primary care & community healthPooled it
- Prevalence of Substance Use Disorders Across Five Community Health Centers in Boston, Massachusetts.Journal of general internal medicine · 2026Article
- Medicaid Expansion and Medication Use Among U.S. Children with ASD or ADHD: A Repeated Cross-Sectional Analysis Comparing Before and During the COVID-19 Periods.Healthcare (Basel, Switzerland) · 2026Article
- The ADVANCE Clinical Research Network Past, Present, and Future: Accelerating Partnerships for Patient-Centered Research in Community-based Primary Care Settings.Medical care · 2026Article
- Cognitive difficulties among middle-aged and older Latino adults: within-group variation across U.S. states.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- Article
- Improving healthcare quality by unifying the American electronic medical report system: time for change.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024Article
- Article
- Revisiting the policy ecology framework for implementation of evidence-based practices in mental health settings.Implementation science : IS · 2023Review
- 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
- An Analysis of Individual and Contextual-Level Disparities in Screening, Treatment, and Outcomes for Hepatocellular Carcinoma.Journal of hepatocellular carcinoma · 2021Review
- New hypertension and diabetes diagnoses following the Affordable Care Act Medicaid expansion.Family medicine and community health · 2020Article
- Impacts of the Affordable Care Act on Receipt of Women's Preventive Services in Community Health Centers in Medicaid Expansion and Nonexpansion States.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
- The Impact of the Affordable Care Act Medicaid Expansion on Acute Diabetes Complications Among Community Health Center Patients.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Community health centers (CHCs) provide primary care for underserved children and adults. The Patient Protection and Affordable Care Act (ACA) aimed to strengthen the CHC network by increasing federal funds and expanding Medicaid eligibility. The ACA also aimed to boost preventive and mental health services and to reduce health and healthcare disparities. Here, we summarize our results to-date as experts in investigating the impact of ACA Medicaid expansion on CHCs and the patients they serve. We found the ACA Medicaid expansion increased access to care and preventive services, primarily in Medicaid expansion states. Rates of physical and mental health conditions rose substantially from pre- to post-ACA in expansion states, suggesting underdiagnosis pre-ACA. Disparities in health insurance coverage by race/ethnicity decreased at CHCs, yet some remain. These findings indicate that the ACA Medicaid expansion significantly helped CHCs and patients. Insurance expansion buoyed CHCs' financial viability by increasing reimbursement. Therefore, the ACA Medicaid expansion enhanced the health of underserved patients and repeal would jeopardize these advances for CHCs and their patients.
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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.