Workers who decline employment-related health insurance

Medical Care
Didem M Bernard, Thomas M Selden

Abstract

Families of workers who decline coverage represent a substantial share of the uninsured and publicly-insured population in the United States. We examined health status, access to health care, utilization, and expenditures among families that declined health insurance coverage offered by employers using data from the Medical Expenditure Panel Survey for 2001 and 2002. We found differences in insurance status for adults and children among families with offers. We found that among low-income families with offers, children are less likely to have private insurance compared with adults. However, the majority of children who decline private insurance end up with public coverage, whereas most of adults who decline offers remain uninsured. Decliners are more likely to report poor health, yet they are also less likely to have high cost medical conditions. Families declining coverage have weaker preferences for insurance than families that take up. Although access to care is lower among the decliners who remain uninsured, decliners with public insurance have similar access to care as those with private insurance. Families turning down coverage are more likely to face high expenditure burdens as a percentage of income and more likely to h...Continue Reading

References

Jul 1, 1997·Health Affairs·P J Cunningham, H T Tu
Jan 28, 1998·Health Affairs·P F Cooper, B S Schone
Nov 5, 1989·Journal of Health Economics·P F Short, A K Taylor
Jan 31, 2002·Health Affairs·L J Blumberg, L M Nichols
Jul 17, 2003·Medical Care·John A Fleishman, William F Lawrence
Nov 25, 2003·International Journal of Health Care Finance and Economics·L J BlumbergJ S Banthin
Jan 12, 2005·Medical Care Research and Review : MCRR·Thomas C BuchmuellerJames G Kahn

❮ Previous
Next ❯

Citations

Oct 23, 2008·JAMA : the Journal of the American Medical Association·Jennifer E DeVoeLorraine S Wallace
Jul 1, 2008·International Journal of Health Care Finance and Economics·Thomas M Selden
Apr 9, 2010·BMC Health Services Research·Peter CramGary E Rosenthal
Sep 16, 2009·Annals of Family Medicine·Jennifer E DeVoeLorraine S Wallace
Feb 13, 2009·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Susan H Busch, Elizabeth Richardson Vigdor
Sep 17, 2008·Research in Social & Administrative Pharmacy : RSAP·Junling WangShelley I White-Means
Mar 16, 2007·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Genevieve KenneyFredric Blavin
Mar 14, 2007·Journal of Nursing Care Quality·Ronda G Hughes, Carolyn M Clancy
Dec 29, 2007·Medical Care·Jennifer E DeVoeNichole E Carlson
Aug 19, 2007·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Carolyn S DewaSusan L Ettner
Dec 14, 2011·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Carolyn S DewaPhillip Jacobs
Mar 11, 2020·Journal of Health Economics·Elena Capatina

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.