The Impact of the Affordable Care Act Medicaid Expansion on Type 2 Diabetes Diagnosis and Treatment: A National Survey of Physicians.

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  • Additional Information
    • Affiliation:
      The University of Chicago Pritzker School of Medicine, Chicago, IL, USA
      Section of General Internal Medicine, Department of Medicine, University of Chicago, 5841 S Maryland Ave. MC 2007, 60637, Chicago, IL, USA
      Center for Health and Social Sciences, University of Chicago, Chicago, IL, USA
      University of Illinois at Chicago, Chicago, IL, USA
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      In 2014, the Affordable Care Act (ACA) provided funding for states to expand Medicaid coverage to include citizens who earned up to 138% of the federal poverty line. We sought to ascertain whether physicians practicing in Medicaid expansion states reported an increase in Medicaid or newly insured patients with type 2 diabetes in their panels, compared to physicians practicing in non-expansion states. We conducted a 55-question cross-sectional survey of 356 physicians providing outpatient care for adults with type 2 diabetes. We used adjusted multivariate logistic regression analyses to compare responses from physicians who practiced in expansion versus non-expansion states regarding whether they observed an increase since 2014 in (1) the number of Medicaid or newly insured patients with diabetes and (2) the number of additional newly or previously diagnosed patients who were newly receiving care, in their panels, adjusting for physician, practice, and patient-level characteristics, weighted for the U.S. physician population. 41% of eligible recipients responded. 64.2% of physicians who practice in an expansion state report an increase in Medicaid or newly insured patients with diabetes compared with 46.1% who practice in non-expansion states (p = 0.05; Table 2). Compared with physicians who practice in non-expansion states, physicians who practice in Medicaid expansion states are more likely to report an increase in the number of Medicaid or newly insured patients with diabetes in their practice since 2014. The increased access associated with the Medicaid expansion may improve long-term outcomes for patients with type 2 diabetes.
    • Journal Subset:
      Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; Public Health; USA
    • ISSN:
      0094-5145
    • MEDLINE Info:
      NLM UID: 7600747
    • Publication Date:
      20190509
    • Publication Date:
      20200601
    • DOI:
      http://dx.doi.org/10.1007/s10900-019-00637-6
    • Accession Number:
      136256217
  • Citations
    • ABNT:
      PRESENT, M. A. et al. The Impact of the Affordable Care Act Medicaid Expansion on Type 2 Diabetes Diagnosis and Treatment: A National Survey of Physicians. Journal of Community Health, [s. l.], v. 44, n. 3, p. 463–472, 2019. DOI 10.1007/s10900-019-00637-6. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=136256217. Acesso em: 9 ago. 2020.
    • AMA:
      Present MA, Nathan AG, Ham SA, et al. The Impact of the Affordable Care Act Medicaid Expansion on Type 2 Diabetes Diagnosis and Treatment: A National Survey of Physicians. Journal of Community Health. 2019;44(3):463-472. doi:10.1007/s10900-019-00637-6
    • APA:
      Present, M. A., Nathan, A. G., Ham, S. A., Sargis, R. M., Quinn, M. T., Huang, E. S., & Laiteerapong, N. (2019). The Impact of the Affordable Care Act Medicaid Expansion on Type 2 Diabetes Diagnosis and Treatment: A National Survey of Physicians. Journal of Community Health, 44(3), 463–472. https://doi.org/10.1007/s10900-019-00637-6
    • Chicago/Turabian: Author-Date:
      Present, Matthew A., Aviva G. Nathan, Sandra A. Ham, Robert M. Sargis, Michael T. Quinn, Elbert S. Huang, and Neda Laiteerapong. 2019. “The Impact of the Affordable Care Act Medicaid Expansion on Type 2 Diabetes Diagnosis and Treatment: A National Survey of Physicians.” Journal of Community Health 44 (3): 463–72. doi:10.1007/s10900-019-00637-6.
    • Harvard:
      Present, M. A. et al. (2019) ‘The Impact of the Affordable Care Act Medicaid Expansion on Type 2 Diabetes Diagnosis and Treatment: A National Survey of Physicians’, Journal of Community Health, 44(3), pp. 463–472. doi: 10.1007/s10900-019-00637-6.
    • Harvard: Australian:
      Present, MA, Nathan, AG, Ham, SA, Sargis, RM, Quinn, MT, Huang, ES & Laiteerapong, N 2019, ‘The Impact of the Affordable Care Act Medicaid Expansion on Type 2 Diabetes Diagnosis and Treatment: A National Survey of Physicians’, Journal of Community Health, vol. 44, no. 3, pp. 463–472, viewed 9 August 2020, .
    • MLA:
      Present, Matthew A., et al. “The Impact of the Affordable Care Act Medicaid Expansion on Type 2 Diabetes Diagnosis and Treatment: A National Survey of Physicians.” Journal of Community Health, vol. 44, no. 3, June 2019, pp. 463–472. EBSCOhost, doi:10.1007/s10900-019-00637-6.
    • Chicago/Turabian: Humanities:
      Present, Matthew A., Aviva G. Nathan, Sandra A. Ham, Robert M. Sargis, Michael T. Quinn, Elbert S. Huang, and Neda Laiteerapong. “The Impact of the Affordable Care Act Medicaid Expansion on Type 2 Diabetes Diagnosis and Treatment: A National Survey of Physicians.” Journal of Community Health 44, no. 3 (June 2019): 463–72. doi:10.1007/s10900-019-00637-6.
    • Vancouver/ICMJE:
      Present MA, Nathan AG, Ham SA, Sargis RM, Quinn MT, Huang ES, et al. The Impact of the Affordable Care Act Medicaid Expansion on Type 2 Diabetes Diagnosis and Treatment: A National Survey of Physicians. Journal of Community Health [Internet]. 2019 Jun [cited 2020 Aug 9];44(3):463–72. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=136256217