2022
DOI: 10.1001/jamainternmed.2022.3687
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Association of Chronic Disease With Patient Financial Outcomes Among Commercially Insured Adults

Abstract: ImportanceThe bidirectional association between health and financial stability is increasingly recognized.ObjectiveTo describe the association between chronic disease burden and patients’ adverse financial outcomes.Design, Setting, and ParticipantsThis cross-sectional study analyzed insurance claims data from January 2019 to January 2021 linked to commercial credit data in January 2021 for adults 21 years and older enrolled in a commercial preferred provider organization in Michigan.ExposuresThirteen common ch… Show more

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Cited by 14 publications
(9 citation statements)
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“…This is especially true as it pertains to the reverse causation between comorbidities and financial burden, which can result in food insecurity. 51,52 The income-to-poverty ratio in NHANES is top-coded at 500% to protect anonymity. This may have led to loss in data resolution.…”
Section: Discussionmentioning
confidence: 99%
“…This is especially true as it pertains to the reverse causation between comorbidities and financial burden, which can result in food insecurity. 51,52 The income-to-poverty ratio in NHANES is top-coded at 500% to protect anonymity. This may have led to loss in data resolution.…”
Section: Discussionmentioning
confidence: 99%
“…13 In addition, our findings are aligned with prior work, which has demonstrated higher rates of medical debt among adults with more chronic medical conditions. 14 For these individuals, traumatic injuries may represent an acute-on-chronic financial stressor that is further compounded by work or income loss and may exacerbate the risk of forgoing care due to an inability to pay.…”
Section: Discussionmentioning
confidence: 99%
“…Certain populations are especially vulnerable to incurring medical debt. These populations include racial and ethnic minority individuals, female individuals, younger individuals, rural residents, those with multiple chronic diseases or serious psychological distress, uninsured individuals, those with high-deductible insurance plans, individuals with limited health insurance literacy, and individuals living in states that have not expanded Medicaid income eligibility under the Patient Protection and Affordable Care Act (ACA) . Medical debt is adversely associated with multiple aspects of well-being, including delaying and forgoing recommended health care, prescription medication nonadherence, and food and housing insecurity .…”
Section: Introductionmentioning
confidence: 99%