Oregon Health & Science University Site Team

Post ACA Reform: EValuation of community hEalth ceNTer care of Diabetes (PREVENT-D)

The Affordable Care Act Medicaid expansions could substantially improve access to health insurance and healthcare services for patients at risk for diabetes mellitus (DM), with pre-DM, or diagnosed with DM. Electronic health record (EHR) data from the ADVANCE clinical data research network (470 community health centers (CHC) in 12 Medicaid expansion states and 248 CHCs in 9 non-expansion states) will be used to assess changes in health insurance, service receipt, and health outcomes pre- and post-expansion, comparing states that expanded Medicaid to those that did not. Findings will have national relevance on DM prevention, diagnosis, treatment, expenditures, and health outcomes.