ArticleJournal of the American Board of Family Medicine : JABFM2025
Insurance Instability Among Community-Based Health Center Patients with Diabetes Post-Affordable Care Act Medicaid Expansion.
Article in Journal of the American Board of Family Medicine : JABFM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 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
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Who cites it
3 citing papers in PubMed.
- Insurance Churn and Diabetes Outcomes Among Patients With Low Income.JAMA health forum · 2026Article
- The Impact of Medicaid Expansion on Acute Diabetes Complication by Care Delivery Settings.Journal of primary care & community healthArticle
- Research on the Social Context of Medicine and the Modern Family Physician.Journal of the American Board of Family Medicine : JABFMArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundTo evaluate insurance instability (churn) among adults with diabetes receiving care at community-based health centers (CHCs).
methodsRetrospective cohort study using patients' electronic health records data for 300,158 adults aged 19 to 64 with ≥3 ambulatory visits between 2014 and 2019 of which 39,542 churned out of insurance. Generalized estimating equation-based (GEE) logistic regression models were fitted to assess the odds of churning.
resultsAmong CHC patients, those with diabetes had 1.25 greater odds of churning than those without diabetes (aOR = 1.25; 95%CI = 1.18, 1.33). Among CHC patients with diabetes, the odds of churning were higher for those with uncontrolled diabetes, more complex medication regimens, and acute diabetes complication.
conclusionsCHC patients with diabetes are more likely to experience insurance instability than those without diabetes. Outreach efforts to reduce the impact of the postpandemic Medicaid disenrollment among patients with diabetes and lower income will be critical to reduce harmful health consequences.
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