Characteristics of Patients by Longitudinal Insurance Patterns, 990 Community Health Centers
| Overall (n = 45,527) | Continuously Insured (n = 32,722) | Continuously Uninsured (n = 3,117) | Discontinuously Insured (n = 2,246) | Gained Insurance (n = 6,374) | Lost Insurance (n = 1,068) | |
|---|---|---|---|---|---|---|
| Sex, n (%) | ||||||
| Woman | 26,168 (57.5) | 18,758 (57.3) | 1,782 (57.2) | 1,257 (56.0) | 3,786 (59.4) | 585 (54.8) |
| Man | 19,359 (42.5) | 13,964 (42.7) | 1,335 (42.8) | 989 (44.0) | 2,588 (40.6) | 483 (45.2) |
| Race and ethnicity, n (%) | ||||||
| Hispanic | 14,438 (31.7) | 9,658 (29.5) | 1,608 (51.6) | 760 (33.8) | 2,024 (31.8) | 388 (36.3) |
| Non-Hispanic Black | 7,242 (15.9) | 4,787 (14.6) | 505 (16.2) | 452 (20.1) | 1,314 (20.6) | 184 (17.2) |
| Non-Hispanic White | 18,531 (40.7) | 14,204 (43.4) | 729 (23.4) | 792 (35.3) | 2,463 (38.6) | 343 (32.1) |
| Other | 2,809 (6.2) | 2,199 (6.7) | 130 (4.2) | 137 (6.1) | 274 (4.3) | 69 (6.5) |
| Unknown | 2,507 (5.5) | 1,874 (5.7) | 145 (4.7) | 105 (4.7) | 299 (4.7) | 84 (7.9) |
| Federal poverty level, n (%) | ||||||
| Some or all ≥138% | 12,851 (28.2) | 9,374 (28.6) | 549 (17.6) | 601 (26.8) | 2,044 (32.1) | 283 (26.5) |
| Never Documented | 6,502 (14.3) | 5,620 (17.2) | 274 (8.8) | 174 (7.7) | 362 (5.7) | 72 (6.7) |
| All <138% | 26,174 (57.5) | 17,728 (54.2) | 2,294 (73.6) | 1,471 (65.5) | 3,968 (62.3) | 713 (66.8) |
| Geographic location, n (%) | ||||||
| Rural | 4,843 (10.6) | 3,823 (11.7) | 152 (4.9) | 176 (7.8) | 628 (9.9) | 64 (6.0) |
| Unknown | 2,693 (5.9) | 2,063 (6.3) | 178 (5.7) | 131 (5.8) | 238 (3.7) | 83 (7.8) |
| Urban | 37,991 (83.4) | 26,836 (82.0) | 2,787 (89.4) | 1,939 (86.3) | 5,508 (86.4) | 921 (86.2) |
| # Visits pre-period, mean (SD) | 3.50 (3.96) | 3.89 (4.36) | 2.36 (2.70) | 4.54 (3.83) | 2.36 (2.37) | 2.14 (2.86) |
| % Preventive visit | 4.4 | 4.6 | 4.1 | 3.7 | 3.4 | 2.4 |
| % Mental health visit | 4.4 | 3.9 | 2.3 | 8.6 | 5.9 | 6.2 |
| % Medicare wellness | 0 | 0 | 0 | 0 | 0 | 0 |
| % Other ambulatory visits | 91.2 | 91.5 | 93.6 | 87.7 | 90.6 | 89.4 |
| # Visits post-period, mean (SD) | 9.03 (14.27) | 9.18 (12.86) | 6.52 (23.47) | 10.47 (21.13) | 8.50 (9.11) | 4.93 (10.70) |
| % Preventive visit | 2.7 | 2.5 | 3.4 | 4.2 | 2.5 | 4.4 |
| % Mental health visit | 0.7 | 3.4 | 1.7 | 5.1 | 5.8 | 9.5 |
| % Medicare wellness | 3.7 | 0.8 | 0.5 | 0.0 | 0.5 | 0.1 |
| % Other ambulatory visits | 92.9 | 93.3 | 94.5 | 90.7 | 91.2 | 88.0 |
| ≥2 Chronic conditions, n (%) | ||||||
| At Pre-period | 35,118 (77.1) | 25,944 (79.3) | 2,053 (65.9) | 1,679 (74.8) | 4,716 (74.0) | 726 (68.0) |
| At Post-period | 39,077 (85.8) | 28,543 (87.2) | 2,350 (75.4) | 1,920 (85.5) | 5,474 (85.9) | 790 (74.0) |
Abbreviation: SD, Standard deviation.
Note: Sample included patient aged 62–68 years with at least one visit before and after Medicare age eligibility and insurance type recorded for every visit.