Uninsured Primary Care Visit Disparities Under the Affordable Care Act.

Purpose: Health insurance coverage affects a patient's ability to access optimal care, the percentage of insured patients on a clinic's panel has an impact on the clinic's ability to provide needed health care services, and there are racial and ethnic disparities in coverage in the United States. Thus, we aimed to assess changes in insurance coverage at community health center (CHC) visits after the Patient Protection and Affordable Care Act (ACA) Medicaid expansion by race and ethnicity.

Methods: We undertook a retrospective, observational study of visit payment type for CHC patients aged 19 to 64 years.

County Health Rankings: Relationships Between Determinant Factors and Health Outcomes.

Introduction: The County Health Rankings (CHR) provides data for nearly every county in the U.S. on four modifiable groups of health factors, including healthy behaviors, clinical care, physical environment, and socioeconomic conditions, and on health outcomes such as length and quality of life.