Disruptions in insurance coverage have negative consequences for healthcare
WEDNESDAY, May 26, 2021 (HealthDay News) – Disruptions in insurance coverage are taking a toll on access to care, reception and affordability, according to a study published online May 24 in the American Journal of Preventive Medicine.
K. Robin Yabroff, Ph.D., of the American Cancer Society in Atlanta, and colleagues identified adults between the ages of 18 and 64 with private, public, or no current coverage (124746; 30932 and 31802, respectively) from 2011 to the 2018 National Health Survey. Correlations between interruptions in coverage or being uninsured with access to care, receipt, and affordability were examined.
The researchers found that among people with current private or public coverage, compared to continuous coverage, disruptions were associated with decreased reception of all preventive services (adjusted odds ratios, 0.42 and 0.48, respectively), with foregoing necessary care due to cost adjusted odds ratios, 4.79 and 4.28, respectively), and with nonadherence to medication due to cost (adjusted odds ratios , 3.55 and 4.09, respectively). In currently uninsured adults, longer interruptions were significantly associated with lower access to care, reception and affordability, with evidence of dose-response models. Compared to currently insured adults with interruptions of coverage or continued coverage, currently uninsured adults, particularly those with longer uninsured periods, reported significantly lower access to care, reception and affordability. “The results underscore the importance of continuous insurance coverage; disruptions due to the COVID-19 pandemic will likely have negative consequences on access to care and affordability, ”the authors write.
Three authors said they received funding from AstraZeneca for an unrelated project.
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