TY - JOUR
T1 - Gaining and losing health insurance
T2 - Strengthening the evidence for effects on access to care and health outcomes
AU - Kasper, Judith D.
AU - Giovannini, Terence A.
AU - Hoffman, Catherine
N1 - Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2000
Y1 - 2000
N2 - This study uses longitudinal data to examine the consequences of losing and gaining health insurance coverage for access to care and health. For both Medicaid and privately insured persons, compared with those who remained insured, persons losing coverage over a 2-year period were more likely to lack a usual source of care, encounter difficulty in obtaining medical care, be very dissatisfied with ability to obtain needed care, and report no physician visits in the previous 12 months. Uninsured people who gained coverage showed improvement across all indicators of access, in contrast to those who remained without insurance. The effects of changes in coverage on health were in the same direction as those for access, but did not reach statistical significance. This study strengthens the evidence that health insurance coverage has a substantial impact on ability to gain access to medical care and may affect health status.
AB - This study uses longitudinal data to examine the consequences of losing and gaining health insurance coverage for access to care and health. For both Medicaid and privately insured persons, compared with those who remained insured, persons losing coverage over a 2-year period were more likely to lack a usual source of care, encounter difficulty in obtaining medical care, be very dissatisfied with ability to obtain needed care, and report no physician visits in the previous 12 months. Uninsured people who gained coverage showed improvement across all indicators of access, in contrast to those who remained without insurance. The effects of changes in coverage on health were in the same direction as those for access, but did not reach statistical significance. This study strengthens the evidence that health insurance coverage has a substantial impact on ability to gain access to medical care and may affect health status.
UR - http://www.scopus.com/inward/record.url?scp=0033836567&partnerID=8YFLogxK
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U2 - 10.1177/107755870005700302
DO - 10.1177/107755870005700302
M3 - Article
C2 - 10981187
AN - SCOPUS:0033836567
SN - 1077-5587
VL - 57
SP - 298
EP - 325
JO - Medical Care Research and Review
JF - Medical Care Research and Review
IS - 3
ER -