2013
DOI: 10.1007/s10995-013-1329-3
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Recent Health Insurance Trends for US Families: Children Gain While Parents Lose

Abstract: In the past decade, political and economic changes in the United States (US) have affected health insurance coverage for children and their parents. Most likely these policies have differentially affected coverage patterns for children (versus parents) and for low-income (versus high-income) families. We aimed to examine-qualitatively and quantitatively-the impact of changing health insurance coverage on US families. Primary data from interviews with Oregon families (2008)(2009)(2010) were analyzed using an it… Show more

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Cited by 12 publications
(10 citation statements)
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“…Health reform and major policy initiatives over the last 2 decades have led to significant changes in pediatric clinical practice. Under Medicaid and the Children's Health Insurance Program, the percentage of US children without health insurance has declined by two-thirds from 14.9% in 1997 to 4.8% in 2015, [1][2][3] and patient-centered medical homes and accountable care organizations have led to greater care coordination. 4,5 In addition, multiinstitutional collaborations have generated new opportunities to improve patient care.…”
mentioning
confidence: 99%
“…Health reform and major policy initiatives over the last 2 decades have led to significant changes in pediatric clinical practice. Under Medicaid and the Children's Health Insurance Program, the percentage of US children without health insurance has declined by two-thirds from 14.9% in 1997 to 4.8% in 2015, [1][2][3] and patient-centered medical homes and accountable care organizations have led to greater care coordination. 4,5 In addition, multiinstitutional collaborations have generated new opportunities to improve patient care.…”
mentioning
confidence: 99%
“…Second, MEPS data do not account for state-level differences in policies pertaining to expansion, eligibility, or degree of public insurance availability. 26,27 We minimize this by including controls for Census region; though only a crude measure of geographic variation, region of residence in the U.S. is a predictor of child health outcomes, disparities, and insurance. 28 Third, MEPS does not provide data on marital status, education, or occupation of parent respondents, which are implicated as important measures contributing to health, 29 though we have captured some of these effects through the family income covariate.…”
Section: Discussionmentioning
confidence: 99%
“…The number of children who are underinsured is greater than the number who are uninsured; 22.7 % of all continuously covered children are underinsured [16], while the proportion of children who are uninsured was about 6 % in 2009 [10]. The risk of underinsurance is greater in selected subgroups, such as children who are Hispanic or those who have special health care needs.…”
Section: Introductionmentioning
confidence: 99%