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A new role for primary care teams in the United States after “Obamacare:” Track and improve health insurance coverage rates
  1. Jennifer DeVoe1,
  2. Heather Angier1,
  3. Megan Hoopes2 and
  4. Rachel Gold3
  1. 1. Oregon Health and Science University, Portland, OR, USA
  2. 2. OCHIN, Inc, Portland, OR, USA
  3. 3. Kaiser Permanente Center for Health Research Northwest Region, Portland, OR, USA
  1. Corresponding author : Heather Angier, MPH, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098, USA, Tel.: +1-503-3496362, Fax: +1-503-4942746, E-mail: angierh{at}


Maintaining continuous health insurance coverage is important. With recent expansions in access to coverage in the United States after “Obamacare,” primary care teams have a new role in helping to track and improve coverage rates and to provide outreach to patients. We describe efforts to longitudinally track health insurance rates using data from the electronic health record (EHR) of a primary care network and to use these data to support practice-based insurance outreach and assistance. Although we highlight a few examples from one network, we believe there is great potential for doing this type of work in a broad range of family medicine and community health clinics that provide continuity of care. By partnering with researchers through practice-based research networks and other similar collaboratives, primary care practices can greatly expand the use of EHR data and EHR-based tools targeting improvements in health insurance and quality health care.

  • Insurance, health
  • Affordable Care Act
  • electronic health records

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See

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