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Research Letter
April 2017

Changes in Primary Care Access Between 2012 and 2016 for New Patients With Medicaid and Private Coverage

Author Affiliations
  • 1Department of Health Care Management and the Division of General Internal Medicine, University of Pennsylvania, Philadelphia
  • 2Leonard Davis Institute of Health Economics, Philadelphia, Pennsylvania
  • 3Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
  • 4The Urban Institute, Washington, DC
  • 5Senior Advisor, Policy, Robert Wood Johnson Foundation, Princeton, New Jersey
  • 6Office of Population Health Management, Northwell Health, and the Department of Emergency Medicine, Hofstra Northwell School of Medicine, Manhasset, New York
JAMA Intern Med. 2017;177(4):588-590. doi:10.1001/jamainternmed.2016.9662

Millions of uninsured adults in the United States have gained health insurance under the Affordable Care Act since major coverage provisions of the act were implemented in 2014, including federal funding for an extension of Medicaid eligibility to nonelderly and low-income adults in some states.1 Anticipating heightened demand, policymakers launched concurrent initiatives to strengthen primary care delivery, such as raising Medicaid reimbursement to Medicare levels for certain primary care providers in 2013 and 2014,2 increasing funds for federally qualified health centers3 and expanding the penetration of Medicaid managed care.4

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