title: Utilization of Community Health Centers in Medicaid Expansion and Nonexpansion States, 2013-2014.
abstract: Using electronic health record data, we examined longitudinal changes in community health center (CHC) visit rates from 2013 through 2014 in Medicaid expansion versus nonexpansion states. Visits from 219 CHCs in 5 expansion states and 4 nonexpansion states were included. Rates were computed using generalized estimating equation Poisson models. Rates increased in expansion state CHCs for new patient, preventive, and limited-service visits (14%, 41%, and 23%, respectively, P < .01 for all), whereas these rates remained unchanged in nonexpansion states. One year after ACA Medicaid expansions, CHCs in expansion states saw an influx of new patients and provided increased preventive services.
authors.affiliation: OCHIN, Inc, Portland, Oregon (Ms Hoopes); Oregon Health and Science University, Portland, Oregon (Ms Angier, Dr Bailey, Dr Huguet, Dr Marino, and Dr DeVoe)Kaiser Permanente Northwest Center for Health Research, OCHIN, Inc, Portland, Oregon (Dr Gold).
authors.forename: Megan J
authors.initials: MJ
authors.lastname: Hoopes
authors.forename: Heather
authors.initials: H
authors.lastname: Angier
authors.forename: Rachel
authors.initials: R
authors.lastname: Gold
authors.forename: Steffani R
authors.initials: SR
authors.lastname: Bailey
authors.forename: Nathalie
authors.initials: N
authors.lastname: Huguet
authors.forename: Miguel
authors.initials: M
authors.lastname: Marino
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: DeVoe
mesh_terms: D000328:Adult; D003151:Community Health Centers / Q000706:statistics & numerical data*; D057286:Electronic Health Records; D005260:Female; D006801:Humans; D008297:Male; D008484:Medicaid; D017057:Medically Uninsured; D008875:Middle Aged; D058991:Patient Protection and Affordable Care Act / Q000331:legislation & jurisprudence; D016012:Poisson Distribution; D014481:United States; D055815:Young Adult