{"id":"https://openalex.org/W2128409525","doi":"https://doi.org/10.1370/afm.573","title":"Short-Term Impacts of Coverage Loss in a Medicaid Population: Early Results From a Prospective Cohort Study of the Oregon Health Plan","display_name":"Short-Term Impacts of Coverage Loss in a Medicaid Population: Early Results From a Prospective Cohort Study of the Oregon Health Plan","publication_year":2006,"publication_date":"2006-09-01","ids":{"openalex":"https://openalex.org/W2128409525","doi":"https://doi.org/10.1370/afm.573","mag":"2128409525","pmid":"https://pubmed.ncbi.nlm.nih.gov/17003137","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1578659"},"language":"en","primary_location":{"id":"doi:10.1370/afm.573","doi":"https://doi.org/10.1370/afm.573","is_oa":true,"landing_page_url":"https://doi.org/10.1370/afm.573","pdf_url":"https://www.annfammed.org/content/annalsfm/4/5/391.full.pdf","source":{"id":"https://openalex.org/S105068684","display_name":"The Annals of Family Medicine","issn_l":"1544-1709","issn":["1544-1709","1544-1717"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316112","host_organization_name":"American Academy of Family Physicians","host_organization_lineage":["https://openalex.org/P4310316112"],"host_organization_lineage_names":["American Academy of Family Physicians"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Annals of Family Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.annfammed.org/content/annalsfm/4/5/391.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5009733542","display_name":"Matthew J. Carlson","orcid":"https://orcid.org/0000-0002-3272-3516","observed_orcids":["https://orcid.org/0000-0002-3272-3516"]},"institutions":[{"id":"https://openalex.org/I126345244","display_name":"Portland State University","ror":"https://ror.org/00yn2fy02","country_code":"US","type":"education","lineage":["https://openalex.org/I126345244"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"M. J. Carlson","raw_affiliation_strings":["Department of Sociology, Portland State University, Portland, Ore 97207, USA. carsonm@pdx.edu","Department of Sociology, Portland State University, Portland, Ore 97207, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Sociology, Portland State University, Portland, Ore 97207, USA. carsonm@pdx.edu","institution_ids":["https://openalex.org/I126345244"]},{"raw_affiliation_string":"Department of Sociology, Portland State University, Portland, Ore 97207, USA","institution_ids":["https://openalex.org/I126345244"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5009733542"],"corresponding_institution_ids":["https://openalex.org/I126345244"],"apc_list":null,"apc_paid":null,"fwci":10.3604,"has_fulltext":true,"cited_by_count":71,"citation_normalized_percentile":{"value":0.97564837,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"4","issue":"5","first_page":"391","last_page":"398"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11610","display_name":"Food Security and Health in Diverse Populations","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/oregon-health-plan","display_name":"Oregon Health Plan","score":0.8349999785423279},{"id":"https://openalex.org/keywords/cost-sharing","display_name":"cost sharing","score":0.7699999809265137},{"id":"https://openalex.org/keywords/unmet-healthcare-needs","display_name":"unmet health needs","score":0.8130000233650208},{"id":"https://openalex.org/keywords/medical-debt","display_name":"medical debt","score":0.9100000262260437},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.796999990940094},{"id":"https://openalex.org/keywords/primary-care-consultations","display_name":"primary care visits","score":0.9129999876022339},{"id":"https://openalex.org/keywords/medication-needs","display_name":"medication needs","score":0.7300000190734863},{"id":"https://openalex.org/keywords/low-income-individuals","display_name":"low-income adults","score":0.8119999766349792},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.8539999723434448}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9418611526489258},{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.8794799447059631},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.5350037813186646},{"id":"https://openalex.org/C61797465","wikidata":"https://www.wikidata.org/wiki/Q1188986","display_name":"Term (time)","level":2,"score":0.5116460919380188},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4965069890022278},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.47755250334739685},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4548545181751251},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.4369622468948364},{"id":"https://openalex.org/C2992755240","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health plan","level":3,"score":0.435829758644104},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.4267379641532898},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.32649409770965576},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3222918212413788},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.07312488555908203},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C62520636","wikidata":"https://www.wikidata.org/wiki/Q944","display_name":"Quantum mechanics","level":1,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006291","descriptor_name":"Health Policy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006301","descriptor_name":"Health Services Needs and Demand","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006301","descriptor_name":"Health Services Needs and Demand","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006304","descriptor_name":"Health Status","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D009922","descriptor_name":"Oregon","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013221","descriptor_name":"State Health Plans","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D013221","descriptor_name":"State Health Plans","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015999","descriptor_name":"Multivariate Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016015","descriptor_name":"Logistic Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016017","descriptor_name":"Odds Ratio","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017047","descriptor_name":"Cost Sharing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019458","descriptor_name":"Insurance Coverage","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019538","descriptor_name":"Health Care Surveys","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1370/afm.573","doi":"https://doi.org/10.1370/afm.573","is_oa":true,"landing_page_url":"https://doi.org/10.1370/afm.573","pdf_url":"https://www.annfammed.org/content/annalsfm/4/5/391.full.pdf","source":{"id":"https://openalex.org/S105068684","display_name":"The Annals of Family Medicine","issn_l":"1544-1709","issn":["1544-1709","1544-1717"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316112","host_organization_name":"American Academy of Family Physicians","host_organization_lineage":["https://openalex.org/P4310316112"],"host_organization_lineage_names":["American Academy of Family Physicians"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Annals of Family Medicine","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:402850","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1578659","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:1578659","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1578659","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ann Fam Med","raw_type":"Text"},{"id":"pmid:17003137","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/17003137","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of family medicine","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1370/afm.573","doi":"https://doi.org/10.1370/afm.573","is_oa":true,"landing_page_url":"https://doi.org/10.1370/afm.573","pdf_url":"https://www.annfammed.org/content/annalsfm/4/5/391.full.pdf","source":{"id":"https://openalex.org/S105068684","display_name":"The Annals of Family Medicine","issn_l":"1544-1709","issn":["1544-1709","1544-1717"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316112","host_organization_name":"American Academy of Family Physicians","host_organization_lineage":["https://openalex.org/P4310316112"],"host_organization_lineage_names":["American Academy of Family Physicians"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Annals of Family Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9763000011444092,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.5676000118255615,"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10"},{"score":0.41670000553131104,"display_name":"No poverty","id":"https://metadata.un.org/sdg/1"}],"sustainable_development_goals_aurora":[{"score":0.7599999904632568,"display_name":"Zero hunger","id":"https://metadata.un.org/sdg/2"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320306139","display_name":"Robert Wood Johnson Foundation","ror":"https://ror.org/02ymmdj85"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2128409525.pdf","grobid_xml":"https://content.openalex.org/works/W2128409525.grobid-xml"},"referenced_works_count":25,"referenced_works":["https://openalex.org/W200208398","https://openalex.org/W239704777","https://openalex.org/W1609399188","https://openalex.org/W1966283914","https://openalex.org/W1966610013","https://openalex.org/W1980789054","https://openalex.org/W1983665614","https://openalex.org/W1987445308","https://openalex.org/W1993293633","https://openalex.org/W2005980282","https://openalex.org/W2087051462","https://openalex.org/W2094135187","https://openalex.org/W2112654020","https://openalex.org/W2113903237","https://openalex.org/W2115614768","https://openalex.org/W2126717144","https://openalex.org/W2128702835","https://openalex.org/W2141732926","https://openalex.org/W2165038399","https://openalex.org/W2168750586","https://openalex.org/W2172163755","https://openalex.org/W2182984006","https://openalex.org/W2395405998","https://openalex.org/W4301040636","https://openalex.org/W6604253536"],"related_works":["https://openalex.org/W2333301355","https://openalex.org/W1503803220","https://openalex.org/W2016267882","https://openalex.org/W3000543458","https://openalex.org/W2126717144","https://openalex.org/W7015354193","https://openalex.org/W241741835","https://openalex.org/W1971724934","https://openalex.org/W2102905683","https://openalex.org/W2340926331"],"abstract_inverted_index":{"PURPOSE:":[0],"Medicaid":[1,46,249,270],"programs":[2],"in":[3,23,51,111],"all":[4],"50":[5],"states":[6],"recently":[7],"implemented":[8],"cost-saving":[9],"strategies,":[10],"including":[11],"benefit":[12],"reductions,":[13],"cost":[14,254],"sharing,":[15],"and":[16,44,88,97,107,134,145,168,182,214,236,256,267],"tightened":[17],"administrative":[18],"rules.":[19],"These":[20],"changes":[21,59,81,118,124,251],"resulted":[22],"loss":[24],"of":[25,30,42,69,79,95,128],"insurance":[26,99],"coverage":[27,47,100,151,199],"for":[28,141],"thousands":[29],"low-income":[31],"adults":[32,49,130],"nationwide.":[33],"In":[34],"this":[35],"study":[36,73],"we":[37],"assessed":[38],"the":[39,52,77,93,112,277],"immediate":[40],"impacts":[41,78,262,273],"disrupted":[43,96,138,150],"lost":[45,98,198],"on":[48,82,101,263],"enrolled":[50,129],"Oregon":[53],"Health":[54],"Plan":[55],"(OHP)":[56],"when":[57,190],"program":[58,250],"were":[60,119,125,152,200],"implemented.":[61,120],"METHODS:":[62],"Data":[63],"come":[64],"from":[65],"baseline":[66],"survey":[67],"results":[68],"a":[70,157,205],"prospective":[71],"cohort":[72],"designed":[74],"to":[75,91,155,171,203,217],"assess":[76],"OHP":[80,117,123],"adult":[83],"beneficiaries.":[84],"We":[85],"used":[86],"bivariate":[87],"multivariate":[89],"analyses":[90],"examine":[92],"effects":[94],"unmet":[102,173,219,228],"health":[103,146,174,220,264],"care":[104,159,175,207,221,265],"needs,":[105],"utilization,":[106],"medical":[108,183,237],"debt":[109,184,238],"occurring":[110],"first":[113,278],"10":[114,279],"months":[115,280],"after":[116,281],"RESULTS:":[121],"After":[122],"implemented,":[126],"31%":[127],"reported":[131,137],"losing":[132],"coverage,":[133],"another":[135],"15%":[136],"coverage.":[139],"Controlling":[140],"demographic":[142],"characteristics,":[143],"income,":[144],"status,":[147],"those":[148,193,245],"with":[149,192],"less":[153,201],"likely":[154,170,202,216],"have":[156,204,259],"primary":[158,206],"visit":[160,208],"(odds":[161],"ratio":[162],"[OR]":[163],"=":[164,178,186,210,224,232,240],".66;":[165],"P":[166,180,188,212,226,234,242],"<.05)":[167],"more":[169,215],"report":[172,218],"needs":[176,222,230],"(OR":[177,185,209,223,231,239],"1.85;":[179],"<.01)":[181,189,213,243],"1.99;":[187],"compared":[191],"continuously":[194,246],"insured.":[195,247],"Those":[196],"who":[197],"0.18;":[211],"5.55;":[225],"<.01),":[227],"medication":[229],"2.05;":[233],"<01),":[235],"3.06;":[241],"than":[244],"CONCLUSIONS:":[248],"that":[252],"increase":[253],"sharing":[255],"limit":[257],"enrollment":[258],"significant":[260],"negative":[261],"access":[266],"utilization":[268],"among":[269],"beneficiaries;":[271],"these":[272],"occur":[274],"rapidly,":[275],"within":[276],"changes.":[282]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":5},{"year":2018,"cited_by_count":2},{"year":2016,"cited_by_count":5},{"year":2015,"cited_by_count":8},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":5},{"year":2012,"cited_by_count":9}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}