(LOUISVILLE, Ky – November 29, 2016) Kentuckians who signed up for Medicaid under expanded income parameters made up the vast majority of Medicaid enrollees getting six important preventive screenings and other early-intervention health services over the 18-month period beginning in January 2015, according to a study of the Affordable Care Act implementation in Kentucky. The study, commissioned by the Foundation for a Healthy Kentucky, shows that 76 percent of oral health screenings covered by Medicaid during this period were for patients who qualified under the expanded program eligibility enacted by Kentucky in 2013. Similarly, 73 percent of breast cancer screenings and 89 percent of colorectal cancer screenings were covered by Medicaid expansion. In addition, the expansion program covered 73 percent of substance abuse treatment services paid for by Medicaid, 65 percent of Hepatitis C screenings, and 77 percent of diabetes screenings. The only service being tracked by the study for which traditional Medicaid covered more than the expanded program was newborn births; the expansion program paid for 24 percent of Medicaid-covered births during the period.

  Q1 2015  Q2 2015  Q3 2015 Q4 2015  Q1 2016 Q2 2016 Totals
Total Dental Screenings 38,169 41,304 40,426 41,193 46,668 43,463 251,223
Dental - Expansion Population 28,801 31,390 30,571 31,626 35,582 32,968 190,938
Total Births 7,096 5,007 7,797 6,915 6,660 6,620 40,095
Births - Expansion Population 1,401 1,315 1,686 1,693 1,748 1,769 9,612
Total Diabetes Screenings 923 1,181 1,180 3,782 4,143 4,589 15,798
Diabetes - Expansion Population 624 817 785 2,959 3,287 3,641 12,113
Total Breast Cancer Screenings 9,314 10,191 9,806 9,708 9,567 9,848 58,434
Breast Cancer - Expansion Population 7,509 9,003 8,650 8,543 8,307 8,597 50,609
Total Colorectal Cancer Screenings 5,899 6,516 6,227 5,589 6,304 6,289 36,824
Colorectal - Expansion Population 5,259 5,844 5,561 4,907 5,514 5,555 32,640
Total Hep C Screenings 4,586 4,857 5,101 5,374 5,451 5,820 31,189
Hep C - Expansion Population 2,986 3,079 3,290 3,445 3,592 3,754 20,146
Total Substance Abuse Treatment Services 5,675 6,600 7,993 8,276 12,837 15,234 56,615
Substance Abuse - Expansion Population 4,131 4,755 5,758 5,958 9,414 11,130 41,146

“One of the benefits of getting more people insured is that they take advantage of the preventive services that can lead to improved health and lower health care costs in the long run,” said Ben Chandler, president and CEO of the Foundation for a Healthy Kentucky. “That positive trend is what we’re seeing in Kentucky in terms of breast and colorectal cancer screenings, preventive dental services and diabetes and Hepatitis C screenings for Kentuckians with low incomes.”

Reports from the Study of the Impact of the ACA Implementation in Kentucky are available here.

About the Foundation for a Healthy Kentucky
Since the Foundation opened its doors in 2001, it has invested more than $26 million in health policy research and pilot project grants across the Commonwealth. Funded by an endowment, the mission of the Foundation is to address the unmet health care needs of Kentuckians by developing and influencing health policy, improving access to care, reducing health risks and disparities, and promoting health equity. Follow the Foundation on Twitter and on Facebook, or visit our website at www.healthy-ky.org.

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Media Contacts:
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