Investigators from Oregon Health & Science University (OHSU) Have Reported New Data on Managed Care (Insurance Instability Among Community-based Health Center Patients With Diabetes Post-affordable Care Act Medicaid Expansion): Managed Care

2025 JUN 20 (NewsRx) -- By a News Reporter-Staff News Editor at Health Policy and Law Daily -- Investigators discuss new findings in Managed Care. According to news reporting out of Portland, Oregon, by NewsRx editors, research stated, “To evaluate insurance instability (churn) among adults with diabetes receiving care at community-based health centers (CHCs). Retrospective cohort study using patients’ electronic health records data for 300,158 adults aged 19 to 64 with >= 3 ambulatory visits between 2014 and 2019 of which 39,542 churned out of insurance.”

Financial supporters for this research include Centers for Disease Control & Prevention - USA, NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK).

Our news journalists obtained a quote from the research from Oregon Health & Science University (OHSU), “Generalized estimating equation-based (GEE) logistic regression models were fitted to assess the odds of churning. Among CHC patients, those with diabetes had 1.25 greater odds of churning than those without diabetes (aOR = 1.25; 95%CI = 1.18, 1.33). Among CHC patients with diabetes, the odds of churning were higher for those with uncontrolled diabetes, more complex medication regimens, and acute diabetes complication. CHC patients with diabetes are more likely to experience insurance instability than those without diabetes.”

According to the news editors, the research concluded: “Outreach efforts to reduce the impact of the postpandemic Medicaid disenrollment among patients with diabetes and lower income will be critical to reduce harmful health consequences.”

This research has been peer-reviewed.

For more information on this research see: Insurance Instability Among Community-based Health Center Patients With Diabetes Post-affordable Care Act Medicaid Expansion. Journal of the American Board of Family Medicine, 2025;38(1):154-164. Journal of the American Board of Family Medicine can be contacted at: Amer Board Family Medicine, 2228 Young Dr, Lexington, KY 40505, USA.

Our news journalists report that additional information may be obtained by contacting Nathalie Huguet, Oregon Health & Science University (OHSU), Dept. of Family Medicine, 3181 Sw Sam Jackson Pk Rd, Portland, OR 97239, United States. Additional authors for this research include Leo Lester, Dang Dinh, Miguel Marino, Jennifer Devoe, Annie E. Larson and Andrew Suchocki.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.3122/jabfm.2024.240186R1. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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