Insurance instability and use of emergency and office-based care after gaining coverage: An observational cohort study.

ABSTRACT:

Background

The Affordable Care Act led to improvements in reporting a usual source of care, but it is unclear whether patients are changing their usual source of care in response to coverage gains. We assess whether prior insurance instability is associated with changes in use of emergency and office-based care after the Marketplace and Medicaid expansion were introduced.

Methods

Our study draws from the 2013-14 Medical Expenditure Panel Survey, identifying a cohort of non-elderly adults with full-year health insurance coverage in 2014. We use linear and multinomial logistic regression to assess the relationship between insurance instability prior to 2014 (uninsured for 1-11 months, ≥12 months) and person-level changes in use of health care after gaining coverage (change in

SUBMITTER: Shafer PR 

PROVIDER: S-EPMC7473517 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature