Insurance-Based Disparities In Access, Utilization, And Financial Strain For Adults With Psychological Distress

McKenna, Ryan M.; Pintor, Jessie Kemmick; Ali, Mir M.

doi:10.1377/hlthaff.2018.05237

Cited by 18 publications

(27 citation statements)

References 27 publications

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“…Disparities in health care access and usage also span across other socioeconomic factors such as race/ethnicity, income, needs-based program participation, and type of insurance coverage. [17][18][19][20] This was consistent with our results, which display an increased likelihood of experiencing medical financial hardship among Black children, Hispanic children, children living in families below the FPL, and children whose families participated in need-based programs. Despite known effects of these socioeconomic factors on health care access, our study found that medical financial hardship remained an independent predictor of child health outcomes, including delayed health care, lack of a usual source of care, unmet health care needs, activity limitation, and high SDQ scores.…”

Section: Discussionsupporting

confidence: 91%

The Impact of Medical Financial Hardship on Children’s Health

Sarathy

Morris

Tumin

et al. 2020

Clin Pediatr (Phila)

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Objective. To determine whether living in a family with medical financial hardship decreases children’s access to health care. Methods. We identified children aged 4 to 17 years from the 2013 to 2018 National Health Interview Surveys. Medical financial hardship was defined as living in a family where one or more family members had problems paying medical bills in the past 12 months. Results. Of 53 483 children in the analysis, 19% were exposed to medical financial hardship. This was adversely associated with children’s health status and health care use, especially greater odds of delaying care (odds ratio [OR] = 5.28; 95% confidence interval [CI] = 4.51-6.19) and having unmet health care needs (OR = 4.43; 95% CI = 4.00-4.91). Conclusions. One fifth of children live in families experiencing medical financial hardship, and this exposure is adversely correlated with child health outcomes even controlling for established measures of socioeconomic status, such as family income, health insurance coverage, and need-based program participation.

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Section: Discussionsupporting

confidence: 91%

The Impact of Medical Financial Hardship on Children’s Health

Sarathy

Morris

Tumin

et al. 2020

Clin Pediatr (Phila)

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“…This finding adds to the literature on barriers to health services utilization among individuals with SPD by providing evidence that they not only have difficulty in accessing care, but also are more likely to incur medical debt. 45 People with SPD have a high level of need for health care services. Plan design may benefit from additional consideration of what services beneficiaries with SPD utilize that result in them having medical debt.…”

Section: Discussionmentioning

confidence: 99%

Disparities in Medical Debt Among U.S. Adults with Serious Psychological Distress

2020

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“…However, privately insured adults with mental disorders have reported greater difficulty accessing appropriate health care compared with those without behavioral conditions. 9…”

Section: Introductionmentioning

confidence: 99%

Cost-Sharing Disparities for Out-of-Network Care for Adults With Behavioral Health Conditions

Song

et al. 2019

JAMA Netw Open

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Key PointsQuestionWhat are the differences in out-of-network care for private insurance plan enrollees with behavioral health conditions compared with enrollees with chronic physical conditions?FindingsIn this cross-sectional study, analyses using a large commercial claims database indicated that the cost sharing from out-of-network care among those with behavioral health conditions was significantly higher than payments for those with other prevalent chronic physical conditions. Among those with behavioral health conditions, rates of out-of-network care were higher for behavioral clinicians and facilities than for nonbehavioral sources.MeaningDespite parity laws, disparities in out-of-network care and cost sharing for those with behavioral health conditions may create undue financial burdens and reflect access-to-care barriers.

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Insurance-Based Disparities In Access, Utilization, And Financial Strain For Adults With Psychological Distress

Cited by 18 publications

References 27 publications

The Impact of Medical Financial Hardship on Children’s Health

The Impact of Medical Financial Hardship on Children’s Health

Disparities in Medical Debt Among U.S. Adults with Serious Psychological Distress

Cost-Sharing Disparities for Out-of-Network Care for Adults With Behavioral Health Conditions

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