Journal article
Insurance-Based Disparities In Access, Utilization, And Financial Strain For Adults With Psychological Distress
Health affairs (Millwood, Va.), v 38(5), pp 826-834
01 May 2019
PMID: 31059361
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Limited provider participation within Medicaid and narrow provider networks on health insurance Marketplaces pose potential barriers to accessing and using the health care system for people with behavioral health needs. We compared employer-sponsored insurance, Medicaid, and Marketplace coverage for people with psychological distress across three domains of health care: access, utilization, and financial strain. We found evidence that adults with psychological distress reported greater difficulty accessing health care relative to those without such distress, regardless of insurance source. Among adults with psychological distress, Medicaid enrollees were more likely to use care and less likely to experience health-related financial strain than those enrolled in employer-sponsored insurance were. However, people with Marketplace coverage were more likely to experience barriers across all domains, relative to people with the other two coverage sources. Policy makers should be cognizant of the participation of providers within Medicaid and the Marketplaces and work to make network breadth more transparent.
Metrics
Details
- Title
- Insurance-Based Disparities In Access, Utilization, And Financial Strain For Adults With Psychological Distress
- Creators
- Ryan M. McKenna - Drexel UniversityJessie Kemmick Pintor - Jessie Kemmick Pintor is an assistant professor of health management and policy at the Drexel University Dornsife School of Public Health.Mir M. Ali - Office of the Assistant Secretary for Planning and Evaluation
- Publication Details
- Health affairs (Millwood, Va.), v 38(5), pp 826-834
- Publisher
- Project Hope
- Number of pages
- 9
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000466974600017
- Scopus ID
- 2-s2.0-85065669575
- Other Identifier
- 991019167899304721
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Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services