Serious psychological distress was reported by 13.6% of US adults in April 2020 vs 3.9% in 2018. 1 How psychological distress has changed over the course of the coronavirus disease 2019 (COVID-19) pandemic is unknown.

IMPORTANCEThe coronavirus disease 2019 (COVID-19) pandemic has caused major disruptions in the US health care system. OBJECTIVE To estimate frequency of and reasons for reported forgone medical care from March to mid-July 2020 and examine characteristics of US adults who reported forgoing care.

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This cross-sectional study examines the extent of narrow networks across Medicare Advantage, types of counties where they are common, enrollment in narrow network plans, and how networks are associated with star ratings.