Despite progress, health disparities remain post-ACA

2017_0911_heather_angier_midIn a first-of-its-kind study, researchers from OHSU and OCHIN report that community health centers in states that expanded Medicaid coverage experienced a decrease in uninsured visits and an increase in Medicaid-insured visits compared with non-expansion states. The research, published in the Annals of Family Medicine. also found that Hispanic patients have the highest rates of uninsured clinic visits, both before and after Affordable Care Act expansion.

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Heather Angier, M.P.H., a senior research associate in family medicine at the School of Medicine, was lead author on the paper, published in the Annals of Family Medicine. OHSU co-authors include Jennifer DeVoe, M.D., Ph.D., chair of the Department of Family Medicine, and assistant professors of family medicine Miguel Marino, Ph.D., Nathalie Huguet, Ph.D. and John Heintzman, M.D., M.P.H.

This work was supported by the Agency for Healthcare Research and Quality (R01HS024270), the National Cancer Institute (R01CA204267 and R01CA181452) and Cooperative Agreement (U18DP006116 jointly funded by the US Centers for Disease Control and Prevention and the National Institute of Diabetes and Digestive and Kidney Disease and Patient-Centered Outcomes Research Institute).