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Comparing Access and Affordability Across Medicaid and Marketplace Plans in the United States.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Comparing Access and Affordability Across Medicaid and Marketplace Plans in the United States./
Author:	Bagley, Kevin.
Description:	1 online resource (77 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 84-05, Section: A.
Contained By:	Dissertations Abstracts International84-05A.
Subject:	Public health. -
Online resource:	click for full text (PQDT)
ISBN:	9798352698679

Comparing Access and Affordability Across Medicaid and Marketplace Plans in the United States.
Bagley, Kevin.

Comparing Access and Affordability Across Medicaid and Marketplace Plans in the United States. - 1 online resource (77 pages)

Source: Dissertations Abstracts International, Volume: 84-05, Section: A.

Thesis (D.H.A.)--Central Michigan University, 2022.

Includes bibliographical references

This analysis identifies and evaluates the impact of consumer perceptions of access and perceptions of affordability by health insurance type (Medicaid, marketplace and employer-sponsored insurance) by leveraging data from the National Health Information Survey (NHIS) and Medical Expenditure Panel Survey (MEPS). The NHIS sample contains respondent data from survey years 2017-2020. The MEPS sample leverage response data from survey years 2017-2019. Consumer perceptions of access and affordability coupled with their likelihood of delaying or forgoing different types of care are generated form the NHIS-based sample using logistic regression to estimate the impact of coverage type. Hurdle models are created to estimate utilization across several service categories while ordinary least squares regression is used to predict overall and patient liability. Results indicate that consumer perceptions of affordability have a significant impact on utilization. This is particularly evident in prescription medication utilization and wellness visits. In the case of prescription medication, Medicaid members were 7.80% less likely than employer-covered consumers and 61.03% less likely than marketplace enrollees to delay or forgo filling prescriptions. In each service category (office-based visits, inpatient, emergency room visits, dental visits, and prescription medications), Medicaid members experienced lower patient liability amounts than their counter parts enrolled in the marketplace or employer-sponsored insurance. These findings build on existing research and provide a foundation for better understanding consumer behavior in order to improve policy making throughout the health insurance industry.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798352698679Subjects--Topical Terms:

560998
Public health.
Subjects--Index Terms:

AccessIndex Terms--Genre/Form:

554714
Electronic books.

Comparing Access and Affordability Across Medicaid and Marketplace Plans in the United States.
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520 $a This analysis identifies and evaluates the impact of consumer perceptions of access and perceptions of affordability by health insurance type (Medicaid, marketplace and employer-sponsored insurance) by leveraging data from the National Health Information Survey (NHIS) and Medical Expenditure Panel Survey (MEPS). The NHIS sample contains respondent data from survey years 2017-2020. The MEPS sample leverage response data from survey years 2017-2019. Consumer perceptions of access and affordability coupled with their likelihood of delaying or forgoing different types of care are generated form the NHIS-based sample using logistic regression to estimate the impact of coverage type. Hurdle models are created to estimate utilization across several service categories while ordinary least squares regression is used to predict overall and patient liability. Results indicate that consumer perceptions of affordability have a significant impact on utilization. This is particularly evident in prescription medication utilization and wellness visits. In the case of prescription medication, Medicaid members were 7.80% less likely than employer-covered consumers and 61.03% less likely than marketplace enrollees to delay or forgo filling prescriptions. In each service category (office-based visits, inpatient, emergency room visits, dental visits, and prescription medications), Medicaid members experienced lower patient liability amounts than their counter parts enrolled in the marketplace or employer-sponsored insurance. These findings build on existing research and provide a foundation for better understanding consumer behavior in order to improve policy making throughout the health insurance industry.
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653 $a Marketplace
653 $a Medicaid
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