Disparities in Pediatric Provider Availability by Insurance Type After the ACA in California

Academic Pediatrics
Jessie Kemmick PintorAlexander N Ortega

Abstract

To examine insurance-based disparities in provider-related barriers to care among children in California in the wake of changes to the insurance market resulting from the Affordable Care Act. Our sample included 6514 children (ages 0 to 11 years) from the 2014-2016 California Health Interview Survey. We examined parent reports in the past year of 1) having trouble finding a general provider for the child, 2) the child not being accepted by a provider as a new patient, 3) the child's health insurance not being accepted by a provider, or 4) any of the above. Multivariable models estimated the associations of insurance type-Medi-Cal (Medicaid), employer-sponsored insurance, or privately purchased coverage-and parent reports of these problems. Approximately 8% of parents had encountered at least one of these problems. Compared with parents of children with employer-sponsored insurance, parents of children with Medi-Cal or privately purchased coverage had over twice the odds of experiencing at least one of the barriers. Parents of children with Medi-Cal had over twice the odds of being told a provider would not accept their children's coverage or having trouble finding a general provider and 3times the odds of being told a provider ...Continue Reading

References

Oct 22, 2003·The Journal of Ambulatory Care Management·Andrew B BindmanKevin Grumbach
Nov 3, 2005·Pediatrics·Alison A GalbraithDimitri A Christakis
Jun 17, 2011·The New England Journal of Medicine·Joanna Bisgaier, Karin V Rhodes
Nov 15, 2012·Annals of Family Medicine·Stephen M PettersonAndrew W Bazemore
Jan 22, 2015·The New England Journal of Medicine·Daniel PolskyKarin V Rhodes
Mar 3, 2017·Pediatrics·Charlene A WongDaniel Polsky
Sep 7, 2017·Health Affairs·Julie L Hudson, Asako S Moriya

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Citations

Jul 23, 2020·Clinical Pediatrics·Brinda SarathyCierra Buckman
Aug 17, 2020·Digestive Diseases and Sciences·Melissa MartinMindie H Nguyen

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