Patient experience of provider refusal of medicaid coverage and its implications

Neeraj Bhandari, Yunfeng Shi, Kyoungrae Jung

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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
Volume27
Issue number2
DOIs
StatePublished - May 2016

Fingerprint

Medicaid
Patient Protection and Affordable Care Act
Insurance Coverage
Health Insurance
Medicare
Health Surveys
Insurance
Hospital Emergency Service
Interviews
Physicians

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

@article{0b71a7010adb44598cf9b47f9a88e76b,
title = "Patient experience of provider refusal of medicaid coverage and its implications",
abstract = "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.",
author = "Neeraj Bhandari and Yunfeng Shi and Kyoungrae Jung",
year = "2016",
month = "5",
doi = "10.1353/hpu.2016.0096",
language = "English (US)",
volume = "27",
pages = "479--494",
journal = "Journal of Health Care for the Poor and Underserved",
issn = "1049-2089",
publisher = "Johns Hopkins University Press",
number = "2",

}

Patient experience of provider refusal of medicaid coverage and its implications. / Bhandari, Neeraj; Shi, Yunfeng; Jung, Kyoungrae.

In: Journal of Health Care for the Poor and Underserved, Vol. 27, No. 2, 05.2016, p. 479-494.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Patient experience of provider refusal of medicaid coverage and its implications

AU - Bhandari, Neeraj

AU - Shi, Yunfeng

AU - Jung, Kyoungrae

PY - 2016/5

Y1 - 2016/5

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84969242568&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84969242568&partnerID=8YFLogxK

U2 - 10.1353/hpu.2016.0096

DO - 10.1353/hpu.2016.0096

M3 - Article

C2 - 27180690

AN - SCOPUS:84969242568

VL - 27

SP - 479

EP - 494

JO - Journal of Health Care for the Poor and Underserved

JF - Journal of Health Care for the Poor and Underserved

SN - 1049-2089

IS - 2

ER -