Estimating demand for care after a medicaid expansion: lessons from Oregon.
Estimating demand for care after a medicaid expansion: lessons from Oregon.
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估计医疗补助扩大后的护理需求：俄勒冈州的经验教训。
DOI：
10.1097/jac.0000000000000023
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
DeVoe,JenniferE
中科院分区：
文献类型：
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作者：
Gold,Rachel;Bailey,SteffaniR;OʼMalley,JeanP;Hoopes,MeganJ;Cowburn,Stuart;Marino,Miguel;Heintzman,John;Nelson,Christine;Fortmann,StephenP;DeVoe,JenniferE
To estimate how the Affordable Care Act's Medicaid expansions will affect demand for services, we measured ambulatory care utilization among adult patients who gained insurance during Oregon's 2008 Medicaid expansion. Using electronic health record data from 67 community health centers, we assessed pre-and postcoverage utilization among patients who gained insurance, compared with patients continuously insured or uninsured. In comparisons of the pre-and postcoverage periods, mean annual encounters among persons who gained insurance increased 22% to 35%, but declined in the comparison groups. These findings suggest that providers should expect a significant increase in demand among patients who gain Medicaid coverage through the Affordable Care Act.
