{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T16:07:09Z","timestamp":1781626029489,"version":"3.54.5"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"name":"NEEMA","award":["NU38PS004651"],"award-info":[{"award-number":["NU38PS004651"]}]},{"name":"NEEMA","award":["K01-HD113828-01A1"],"award-info":[{"award-number":["K01-HD113828-01A1"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In 2014, the Affordable Care Act (ACA) mandated that newly eligible Medicaid expansion beneficiaries receive recommended preventive services at no cost. Yet, evidence regarding the Medicaid expansion population's use of preventive services is limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medicaid claims data from 2011 to 2019. We focused on 12 selected preventive services that received new, revised, or upheld A or B USPSTF ratings since 2010.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We find that receipt of preventive services among the Medicaid Expansion population increased from 22% in 2014 to 26% in 2019, with 41% of beneficiaries receiving at least one of the 12 examined services from 2014 to 2019. The most received services were screening tests for HIV infection, cervical cancer, chlamydia and gonorrhea, and hepatitis C virus infection. Receipt of at least one preventive service was highest among non-Hispanic Asian, non-Hispanic Black, and Hispanic beneficiaries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Future changes to Medicaid expansion eligibility or preventive services recommendations could potentially disrupt these utilization patterns, with possible disproportionate effects on people from racial and ethnic minority populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/haschl\/qxag117","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T12:03:55Z","timestamp":1778760235000},"source":"Crossref","is-referenced-by-count":0,"title":["Preventive service use among Medicaid expansion adults, 2014\u20132019"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4104-2584","authenticated-orcid":false,"given":"Michelle","family":"Bronsard","sequence":"first","affiliation":[{"name":"Department of Health Policy, Stanford University , Stanford, CA 94305 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7993-5025","authenticated-orcid":false,"given":"Sarah","family":"Hirsch","sequence":"additional","affiliation":[{"name":"Department of Health Policy, Stanford University , Stanford, CA 94305 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0128-2949","authenticated-orcid":false,"given":"Dawn","family":"Pepin","sequence":"additional","affiliation":[{"name":"Office of the Director, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention , Atlanta, GA 30329 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6920-7419","authenticated-orcid":false,"given":"Terrika","family":"Barham","sequence":"additional","affiliation":[{"name":"Office of Health Equity, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention , Atlanta, GA 30329 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2951-051X","authenticated-orcid":false,"given":"Angela T","family":"Estadt","sequence":"additional","affiliation":[{"name":"Office of the Director, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention , Atlanta, GA 30329 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Van Handel","sequence":"additional","affiliation":[{"name":"Office of the Director, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention , Atlanta, GA 30329 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3929-5515","authenticated-orcid":false,"given":"Joshua A","family":"Salomon","sequence":"additional","affiliation":[{"name":"Department of Health Policy, Stanford University , Stanford, CA 94305 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5274-8585","authenticated-orcid":false,"given":"Adrienne","family":"Sabety","sequence":"additional","affiliation":[{"name":"Department of Health Policy, Stanford University , Stanford, CA 94305 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"key":"2026061611422040500_qxag117-B1","author":"United States Preventive Services Taskforce"},{"issue":"1","key":"2026061611422040500_qxag117-B2","doi-asserted-by":"publisher","first-page":"e7","DOI":"10.2105\/AJPH.2014.302289","article-title":"Clinical preventive services coverage and the affordable care act","volume":"105","author":"Fox","year":"2015","journal-title":"Am J Public Health."},{"issue":"11","key":"2026061611422040500_qxag117-B3","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.44698","article-title":"Estimated US cancer deaths prevented with increased use of lung, colorectal, breast, and cervical cancer screening","volume":"6","author":"Knudsen","year":"2023","journal-title":"JAMA Netw Open."},{"key":"2026061611422040500_qxag117-B4","author":"Institute of Medicine (US) Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health 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