The health care law aimed to bring many of the most disadvantaged Americans into the medical system by expanding access to Medicaid, the government insurance program for the poor. But with the release of federal health data still months away, it was impossible to know whether the new coverage was having any effect in identifying and treating critical health problems such as diabetes and high blood pressure. In the new study by Quest Diagnostics, a medical testing company, researchers analyzed laboratory test results from all 50 states in the company's large database over two six-month periods. In the states that expanded Medicaid, the number of Medicaid enrollees with newly identified diabetes rose by 23 percent, to 18,020 in the first six months of 2014, from 14,625 in the same period in 2013. The diagnoses rose by only 0.4 percent — to 11,653 from 11,612 — in the states that did not expand Medicaid.
Dr. David M. Nathan, director of the Diabetes Center at Massachusetts General Hospital, said earlier detection — particularly among the poor, who are more likely to have the disease without knowing it — is the first step in preventing some of the most severe long-term consequences and saving dollars and lives. He pointed out that diabetes rates tended to be highest in the Southern states that did not expand Medicaid, and that full insurance coverage there would likely produce an even stronger effect. "This suggests that states that are accepting this kind of coverage are doing their populations a huge favor," he said, adding that the health care law was the most plausible explanation for the findings. "I couldn't find anything that sounded like a false note," he said of the study.
http://www.nytimes.com/2015/03/23/science/with-expansion-of-medicaid-some-states-are-identifying-more-new-diabetes-cases.html?_r=0
Dr. David M. Nathan, director of the Diabetes Center at Massachusetts General Hospital, said earlier detection — particularly among the poor, who are more likely to have the disease without knowing it — is the first step in preventing some of the most severe long-term consequences and saving dollars and lives. He pointed out that diabetes rates tended to be highest in the Southern states that did not expand Medicaid, and that full insurance coverage there would likely produce an even stronger effect. "This suggests that states that are accepting this kind of coverage are doing their populations a huge favor," he said, adding that the health care law was the most plausible explanation for the findings. "I couldn't find anything that sounded like a false note," he said of the study.
http://www.nytimes.com/2015/03/23/science/with-expansion-of-medicaid-some-states-are-identifying-more-new-diabetes-cases.html?_r=0