{"id":"https://openalex.org/W2139502508","doi":"https://doi.org/10.2337/dc14-2334","title":"Surge in Newly Identified Diabetes Among Medicaid Patients in 2014 Within Medicaid Expansion States Under the Affordable Care Act","display_name":"Surge in Newly Identified Diabetes Among Medicaid Patients in 2014 Within Medicaid Expansion States Under the Affordable Care Act","publication_year":2015,"publication_date":"2015-03-23","ids":{"openalex":"https://openalex.org/W2139502508","doi":"https://doi.org/10.2337/dc14-2334","mag":"2139502508","pmid":"https://pubmed.ncbi.nlm.nih.gov/25802324"},"language":"en","primary_location":{"id":"doi:10.2337/dc14-2334","doi":"https://doi.org/10.2337/dc14-2334","is_oa":false,"landing_page_url":"https://doi.org/10.2337/dc14-2334","pdf_url":null,"source":{"id":"https://openalex.org/S49878492","display_name":"Diabetes Care","issn_l":"0149-5992","issn":["0149-5992","1935-5548"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes Care","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5013922748","display_name":"Harvey W. Kaufman","orcid":"https://orcid.org/0000-0003-2850-9047","observed_orcids":["https://orcid.org/0000-0003-2850-9047"]},"institutions":[{"id":"https://openalex.org/I74614422","display_name":"Quest Diagnostics (United States)","ror":"https://ror.org/010g9bb70","country_code":"US","type":"company","lineage":["https://openalex.org/I74614422"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Harvey W. Kaufman","raw_affiliation_strings":["Quest Diagnostics, Madison, NJ","1Quest Diagnostics, Madison, NJ"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Quest Diagnostics, Madison, NJ","institution_ids":["https://openalex.org/I74614422"]},{"raw_affiliation_string":"1Quest Diagnostics, Madison, NJ","institution_ids":["https://openalex.org/I74614422"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002718933","display_name":"Zhen Chen","orcid":"https://orcid.org/0000-0002-9946-1362","observed_orcids":["https://orcid.org/0000-0002-9946-1362","https://orcid.org/0009-0007-7842-5446"]},"institutions":[{"id":"https://openalex.org/I74614422","display_name":"Quest Diagnostics (United States)","ror":"https://ror.org/010g9bb70","country_code":"US","type":"company","lineage":["https://openalex.org/I74614422"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Zhen Chen","raw_affiliation_strings":["Quest Diagnostics, Madison, NJ","1Quest Diagnostics, Madison, NJ"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Quest Diagnostics, Madison, NJ","institution_ids":["https://openalex.org/I74614422"]},{"raw_affiliation_string":"1Quest Diagnostics, Madison, NJ","institution_ids":["https://openalex.org/I74614422"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034671525","display_name":"Vivian Andrew Fonseca","orcid":"https://orcid.org/0000-0002-3381-7151","observed_orcids":["https://orcid.org/0000-0002-3381-7151"]},"institutions":[{"id":"https://openalex.org/I114832834","display_name":"Tulane University","ror":"https://ror.org/04vmvtb21","country_code":"US","type":"education","lineage":["https://openalex.org/I114832834"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vivian A. Fonseca","raw_affiliation_strings":["Tulane University School of Medicine, New Orleans, LA","2Tulane University School of Medicine, New Orleans, LA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tulane University School of Medicine, New Orleans, LA","institution_ids":["https://openalex.org/I114832834"]},{"raw_affiliation_string":"2Tulane University School of Medicine, New Orleans, LA","institution_ids":["https://openalex.org/I114832834"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5067548667","display_name":"Michael John McPhaul","orcid":"https://orcid.org/0000-0003-4399-5733","observed_orcids":["https://orcid.org/0000-0003-4399-5733"]},"institutions":[{"id":"https://openalex.org/I74614422","display_name":"Quest Diagnostics (United States)","ror":"https://ror.org/010g9bb70","country_code":"US","type":"company","lineage":["https://openalex.org/I74614422"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael J. McPhaul","raw_affiliation_strings":["Quest Diagnostics, Madison, NJ","1Quest Diagnostics, Madison, NJ"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Quest Diagnostics, Madison, NJ","institution_ids":["https://openalex.org/I74614422"]},{"raw_affiliation_string":"1Quest Diagnostics, Madison, NJ","institution_ids":["https://openalex.org/I74614422"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5013922748"],"corresponding_institution_ids":["https://openalex.org/I74614422"],"apc_list":null,"apc_paid":null,"fwci":27.2978,"has_fulltext":false,"cited_by_count":88,"citation_normalized_percentile":{"value":0.99460112,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":100},"biblio":{"volume":"38","issue":"5","first_page":"833","last_page":"837"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9609000086784363,"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":0.9609000086784363,"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/T10560","display_name":"Diabetes Management and Research","score":0.019999999552965164,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10027","display_name":"Diabetes, Cardiovascular Risks, and Lipoproteins","score":0.006800000090152025,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/newly-diagnosed-diabetes","display_name":"newly diagnosed diabetes","score":0.8579999804496765},{"id":"https://openalex.org/keywords/medicaid-expansion","display_name":"Medicaid expansion","score":0.9610000252723694},{"id":"https://openalex.org/keywords/affordable-care-act","display_name":"Affordable Care Act","score":0.9980000257492065},{"id":"https://openalex.org/keywords/medicaid-enrollees","display_name":"Medicaid enrollees","score":0.9229999780654907},{"id":"https://openalex.org/keywords/diabetes-incidence","display_name":"diabetes incidence","score":0.5889999866485596},{"id":"https://openalex.org/keywords/hba1c","display_name":"HbA1c","score":0.8479999899864197},{"id":"https://openalex.org/keywords/early-diagnosis-of-diabetes","display_name":"early detection of diabetes","score":0.5199999809265137},{"id":"https://openalex.org/keywords/health-insurance-coverage","display_name":"health insurance coverage","score":0.5410000085830688}],"concepts":[{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.9794790744781494},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.874840259552002},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.7816489934921265},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5012338161468506},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.4335535168647766},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.42977383732795715},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.4222121834754944},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.39043906331062317},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.28626394271850586},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.12605136632919312},{"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/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D004219","descriptor_name":"District of Columbia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006442","descriptor_name":"Glycated Hemoglobin","qualifier_ui":"Q000378","qualifier_name":"metabolism","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":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D042241","descriptor_name":"Early Diagnosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058991","descriptor_name":"Patient Protection and Affordable Care Act","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.2337/dc14-2334","doi":"https://doi.org/10.2337/dc14-2334","is_oa":false,"landing_page_url":"https://doi.org/10.2337/dc14-2334","pdf_url":null,"source":{"id":"https://openalex.org/S49878492","display_name":"Diabetes Care","issn_l":"0149-5992","issn":["0149-5992","1935-5548"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes Care","raw_type":"journal-article"},{"id":"pmid:25802324","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25802324","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":"Diabetes care","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W1973055540","https://openalex.org/W1992567918","https://openalex.org/W2059158127","https://openalex.org/W2087167702","https://openalex.org/W2089497956","https://openalex.org/W2158822657","https://openalex.org/W2161014058","https://openalex.org/W2263730165","https://openalex.org/W2386354771","https://openalex.org/W4242364069"],"related_works":["https://openalex.org/W7097135981","https://openalex.org/W7095403857","https://openalex.org/W1517052435","https://openalex.org/W7172409989","https://openalex.org/W2919579945","https://openalex.org/W4368357883","https://openalex.org/W3116018122","https://openalex.org/W4317895784","https://openalex.org/W4411291735","https://openalex.org/W4407593060"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Twenty-six":[1],"states":[2,21,178,199,230],"and":[3,91,109,129,214,217,221,248],"the":[4,15,30,36,83,92,97,121,146,152,176,197,229,235],"District":[5,180],"of":[6,32,38,49,72,78,87,94,116,125,157,161,181,190,240],"Columbia":[7],"expanded":[8,184,232],"Medicaid":[9,33,39,185,204,233,241],"in":[10,96,145,151,175,196,212,228],"January":[11],"2014":[12,130],"pursuant":[13],"to":[14,28,255,257],"Affordable":[16],"Care":[17],"Act":[18],"(ACA);":[19],"24":[20,198],"did":[22,201],"not.":[23],"This":[24,224,251],"created":[25],"an":[26,68,155,188,237],"opportunity":[27],"examine":[29],"impact":[31],"expansion":[34],"on":[35],"number":[37,160,239],"patients":[40,111,141,163,242],"with":[41,142,164,187,243],"newly":[42,117,165],"identified":[43,63,107,138,166],"diabetes":[44,64,119,144,167,244],"among":[45],"enrollees":[46],"(19-64":[47],"years":[48],"age)":[50],"who":[51,112],"had":[52],"laboratory":[53],"testing":[54],"through":[55],"Quest":[56],"Diagnostics.":[57],"RESEARCH":[58],"DESIGN":[59],"AND":[60],"METHODS:":[61],"Newly":[62],"was":[65],"defined":[66],"as":[67],"ICD-9":[69],"diagnosis":[70],"code":[71],"250.x":[73],"(diabetes)":[74],"or":[75],"hemoglobin":[76],"A1c":[77],">6.4%":[79],"(46":[80],"mmol/mol)":[81],"within":[82,101,120],"first":[84,122],"6":[85,123],"months":[86,124],"a":[88],"calendar":[89,99],"year":[90,100],"absence":[93],"both":[95,219],"preceding":[98],"our":[102,114],"data":[103],"repository.":[104],"RESULTS:":[105],"We":[106,137],"215,398":[108],"218,890":[110],"met":[113],"definition":[115],"diagnosed":[118,247],"2013":[126],"(control":[127],"period)":[128],"(study":[131],"period),":[132],"respectively":[133],"(a":[134],"1.6%":[135],"increase).":[136],"26,237":[139],"Medicaid-enrolled":[140,162],"new":[143],"control":[147],"period":[148],"vs.":[149,172,193],"29,673":[150],"study":[153,225],"period:":[154],"increase":[156,189],"13%.":[158],"The":[159],"increased":[168,238],"by":[169],"23%":[170],"(14,625":[171],"18,020":[173],"patients)":[174,195],"26":[177],"(and":[179],"Columbia)":[182],"that":[183,200,227,231],"compared":[186],"0.4%":[191],"(11,612":[192],"11,653":[194],"not":[202],"expand":[203],"during":[205],"this":[206],"period.":[207],"Similar":[208],"differences":[209],"were":[210],"observed":[211],"younger":[213],"older":[215],"adults":[216],"for":[218],"men":[220],"women.":[222],"CONCLUSIONS:":[223],"suggests":[226],"under":[234],"ACA,":[236],"are":[245],"being":[246],"treated":[249],"earlier.":[250],"could":[252],"be":[253],"anticipated":[254],"lead":[256],"better":[258],"long-term":[259],"outcomes.":[260]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":6},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":11},{"year":2020,"cited_by_count":15},{"year":2019,"cited_by_count":12},{"year":2018,"cited_by_count":7},{"year":2017,"cited_by_count":7},{"year":2016,"cited_by_count":15},{"year":2015,"cited_by_count":5}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}