Patient experience of provider refusal of medicaid coverage and its implications

Neeraj Bhandari, Yunfeng Shi, Kyoungrae Jung

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Previous studies show that many physicians do not accept new patients with Medicaid coverage, but no study has examined Medicaid enrollees’ actual experience of provider refusal of their coverage and its implications. Using the 2012 National Health Interview Survey, we estimate provider refusal of health insurance coverage reported by 23,992 adults with continuous coverage for the past 12 months. We find that among Medicaid enrollees, 6.73% reported their coverage being refused by a provider in 2012, a rate higher than that in Medicare and private insurance by 4.07 (p<.01) and 3.68 (p<.001) percentage points, respectively. Refusal of Medicaid coverage is associated with delaying needed care, using emergency room (ER) as a usual source of care, and perceiving current coverage as worse than last year. In view of the Affordable Care Act’s (ACA) Medicaid expansion, future studies should continue monitoring enrollees’ experience of coverage refusal.

Original languageEnglish (US)
Pages (from-to)479-494
Number of pages16
JournalJournal of Health Care for the Poor and Underserved
Issue number2
StatePublished - May 2016

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health


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