Health Policy and Health Services

Health policy and health services research examines the effect of health policies and system-based approaches on the risks and outcomes of type 2 diabetes for various population groups.

Health Policy and Health Services Study

Natural Experiments for Translation in Diabetes 2.0 (NEXTD-2) Study

Overall Objective
The overall objective of the NEXTD-2 Study is to examine the effect of major population-targeted policies and interventions on diabetes prevention and control. NEXTD-2 is a follow-up to the NEXT-D Study, that evaluated health policies and interventions used by health care systems, businesses, and communities and was mandated by health care legislation as a way to reduce diabetes risk, complications, and health inequalities across broad segments of the US population. The goal of NEXTD-2 is to use the collective input of the network to provide evaluations of natural experiments that guide the evolution of policies and programs to improve diabetes care and prevention.

Funding Agencies

Period of Funding
09/30/15–09/29/2020 (CDC, NIH)
2016—2021 (PCORI)


PCORI funded contracts
www.pcori.orgexternal icon:

  • Mount Sinai Health System: The Impact of Medicaid Health Homes on Patients with Diabetes: study Design and Rationale
  • Tulane University: Louisiana Experiment Assessing Diabetes outcomes (LEAD) study: Impact of a Medicare Reimbursement Policy Supporting Chronic Care Management
  • Penn State Hershey Medical Center:  A Patient-Centered Path to Addressing Diabetes: Impact of Obesity counseling

UCLA- based Central Coordination Center funded by CDC/NIDDK/ & PCORI

Publications from NEXTD-2 Study:

  1. Springer R, Marino M, O’Malley JP, et al. Oregon Medicaid Expenditures After the 2014 Affordable Care Act Medicaid Expansion: Over-time Differences Among New, Returning, and Continuously Insured Enrollees.external icon Medical Care. 2018; 56(5): 394-402. doi: 10.1097/MLR.0000000000000907.
  2. Angier H, Hoopes M, Marino M, et al. Uninsured Primary Care Visit Disparities Under the Affordable Care Act.external icon Annals of Family Medicine.2017;15(5):434-442. doi: 10.1370/afm.2125.
  3. Huguet N, Angier H, Marino M, McConnell KJ, et al. Protocol for the analysis of a natural experiment on the impact of the Affordable Care Act on diabetes care in community health centers.external icon Implementation Science. 2017;12(1):14. doi: 10.1186/s13012-017-0543-6.
  4. DeVoe J, Angier H, Hoopes M, Gold R. A new role for primary care teams in the United States after “Obamacare:” Track and improve health insurance coverage rates.external icon Family Medicine and Community Health. 2016; 4(4):63-67. doi: 10.15212/FMCH.2016.0117.
  5. Huguet N, Hoopes MJ, Angier H, et al. Medicaid Expansion Produces Long-Term Impact on Insurance Coverage Rates in Community Health Centers.external icon 2017; 8(4):206-212. doi: 10.1177/2150131917709403.
  6. Duru OK, Mangione CM, Rodriguez HP, el al. Introductory Overview of the Natural Experiments for Translation in Diabetes 2.0 (NEXT-D2) Network: Examining the Impact of US Health Policies and Practices to Prevent Diabetes and Its Complications.external icon 2018; 18(2):8. doi: 10.1007/s11892-018-0977-5.

For more information:
Contact: CDC-INFO

Page last reviewed: May 16, 2018