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Morning Briefing

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Monday, Mar 23 2015

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Diabetes Care Improves For Low-Income Patients With Medicaid Expansion, Study Finds

The study, which was done by Quest Diagnostics, analyzed lab test results in 50 states from the company’s database over two six-month periods. In states that expanded Medicaid, the number of enrollees with newly identified diabetes increased 23 percent in the first six months of 2014 compared with 0.4 percent in the states that did not expand the low-income health insurance program.

The number of new diabetes cases identified among poor Americans has surged in states that have embraced the Affordable Care Act, but not in those that have not, a new study has found, suggesting that the health care law may be helping thousands of people get earlier treatment for one of this country’s costliest medical conditions. (Tavernise, 3/23)

Low-income patients with diabetes are getting better access to medical care in states that have expanded Medicaid coverage through the Affordable Care Act, suggests a new study that provides one of the first indications of the sweeping law's health effects. Residents of other states are at risk of being left behind. The number of Medicaid patients with newly identified diabetes surged 23% in states that expanded their programs, an option provided by the law, but there was virtually no increase in states that declined to expand coverage, researchers found. (Levey, 3/23)

For the study, researchers analyzed test results, stripped of identifying information, of Medicaid recipients diagnosed with diabetes in the first half of 2014. They found that diabetes cases jumped 23 percent from the year before in the 26 states and the District of Columbia, all of which expanded their Medicaid programs. In the nonexpansion states, the increase was less than 1 percent. The analysis is being published online in Diabetes Care, the official publication of the American Diabetes Association. (Sun, 3/23)

More than 11 million Americans have joined the Medicaid rolls since the major provisions of the Affordable Care Act went into effect, and health officials are searching for ways to contain the costs of caring for them. Some of the most expensive patients have medical conditions that are costly no matter what. But a significant share of them — so-called super utilizers like Mr. Pate — rack up costs for avoidable reasons. Many are afflicted with some combination of poverty, homelessness, mental illness, addiction and past trauma. (Tavernise, 3/22)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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