Short- and Long-Term Health Consequences of Gaps in Health Insurance Coverage among Young Adults

Horne, Gabrielle; Gautam, Amber; Tumin, Dmitry

doi:10.1089/pop.2021.0211

Cited by 10 publications

(7 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This finding may indicate an interrupted healthcare access when adult survivors of childhood cancer transition out from parents' healthcare plans. 33,34 This finding also corroborates the fact that U.S. population aged 18-29 years have the highest proportion of noninsurance compared with all other age groups (30-64 years). 35 Thus, we advocate for programs effectively addressing interrupted care across transitions for CCS aged 24-29 years [36][37][38] based on the insurance disadvantage.…”

Section: Discussionsupporting

confidence: 76%

“…Meanwhile CCS of other age groups had a similar experience of healthcare cost barriers when compared with the youngest group. This finding may indicate an interrupted healthcare access when adult survivors of childhood cancer transition out from parents’ healthcare plans 33,34 . This finding also corroborates the fact that U.S. population aged 18‐29 years have the highest proportion of noninsurance compared with all other age groups (30‐64 years) 35 .…”

Section: Discussionsupporting

confidence: 72%

See 1 more Smart Citation

Healthcare utilization and cost barriers among U.S. childhood cancer survivors

Nghiem

Alanaeme

Mennemeyer

et al. 2023

Pediatric Blood & Cancer

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 76%

Section: Discussionsupporting

confidence: 72%

Healthcare utilization and cost barriers among U.S. childhood cancer survivors

Nghiem

Alanaeme

Mennemeyer

et al. 2023

Pediatric Blood & Cancer

View full text Add to dashboard Cite

show abstract

“…Insurance coverage continuity is vital to prevent disruptions in the regular and episodic care required among the pediatric population to ensure healthy development and manage diseases. Prior work has shown that coverage gaps among children and young adults may lead to delays in seeking routine care, an increased risk of unmet health care needs, and higher emergency room utilization (Gushue et al, 2019; Horne et al, 2022; Osorio & Alker, 2021a). Similarly, children who endure ACEs are more likely to have increased emergency room visits and fewer well visits (Duke & Borowsky, 2018; Koball et al, 2021; McKelvey et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 1 in 10 U.S. children experience part-year uninsurance (Osorio & Alker, 2021a). Part-year uninsurance and subsequent delays in preventive care can result in unintended health care use, such as emergency department visits or hospitalizations (Gushue et al, 2019; Horne et al, 2022). Insurance coverage gaps can occur for various reasons, including employment changes, inability to afford the insurance premium, and encountering problems with the application process (Carroll et al, 2017; J.…”

Section: Introductionmentioning

confidence: 99%

Health Insurance Coverage Gaps Among Children With a History of Adversity

et al. 2023

Self Cite

View full text Add to dashboard Cite

Health insurance stability among children with adverse childhood experiences (ACEs) is essential for accessing health care services. This cross-sectional study used an extensive, multi-year, nationally representative database of children aged 0 to 17 to examine the association between ACE scores and continuous or intermittent lack of health insurance over a 12-month period. Secondary outcomes were reported reasons for coverage gaps. Compared with children having 0 ACEs, those with 4+ ACEs had a higher likelihood of being part-year uninsured rather than year-round private insured (relative risk ratio [RRR]: 4.20; 95% CI: 3.25, 5.43), year-round public insured (RRR: 1.37; 95% CI: 1.06, 1.76), or year-round uninsured (RRR: 2.28; 95% confidence interval [CI]: 1.63, 3.21). Among children who experienced part-year or year-round uninsurance, a higher ACE score was associated with a greater likelihood of coverage gap due to difficulties with the application or renewal process. Policy changes to reduce administrative burdens may improve health insurance stability and access to health care among children who endure ACEs.

show abstract

“…In turn, people with Medicaid insurance, including pregnant and postpartum women, have higher rates of ED utilization and receive fewer outpatient preventive care services than people with private insurance [18][19][20] . Furthermore, for young adults, gaps in insurance coverage have been associated with decreased utilization of preventive care services for several years following the initial disruption of coverage 21) . Meanwhile, infants' medical complexity, including chronic disease, lower GA, and lower birth weight; as well as infants' coverage by private insurance have been associated with higher rates of follow-up 1-4, 8-10, 16, 22) .…”

mentioning

confidence: 99%

Does greater distance from the hospital exacerbate socioeconomic barriers to neonatal intensive care unit clinic attendance?

et al. 2023

Self Cite

View full text Add to dashboard Cite

Objective: To determine if distance from our Neonatal Intensive Care Unit (NICU) follow-up clinic exacerbated risk of clinic nonattendance in high-risk groups defined by socioeconomic status or medical complexity, as geographical distance from the hospital can affect attendance rates at NICU follow-up clinics. Patients and Methods: We retrospectively identified infants born between January 2014 and June 2018, and subsequently discharged from our 50-bed level IV NICU, which serves a predominantly rural population. Patients were included in our study if they had at least one NICU clinic follow-up visit scheduled at discharge. Distance to the clinic was calculated based on family ZIP code. Mixed-effects logistic regression analysis of attendance at each scheduled visit was used to identify independent associations and interactions with distance among study covariates. Results: We included 576 patients in our study, with 74% missing at least one clinic appointment, and 30% not attending any of the three appointments. Median distance between our hospital and families was 53 km. On multivariable analysis, neither distance nor other infant or family characteristics were associated with clinic non-attendance. Only interfacility transfer had a statistically significant interaction with distance and this association only reached statistical significance for patients living furthest from our center. Conclusions: NICU follow-up is important, but clinic attendance is poor. For families living furthest away, transfers of care during the infant's hospitalization may be associated with lower completion of recommended post-discharge follow-up. Further research is needed to understand how clinics can mitigate barriers to attendance.

show abstract

Short- and Long-Term Health Consequences of Gaps in Health Insurance Coverage among Young Adults

Cited by 10 publications

References 23 publications

Healthcare utilization and cost barriers among U.S. childhood cancer survivors

Healthcare utilization and cost barriers among U.S. childhood cancer survivors

Health Insurance Coverage Gaps Among Children With a History of Adversity

Does greater distance from the hospital exacerbate socioeconomic barriers to neonatal intensive care unit clinic attendance?

Contact Info

Product

Resources

About