Prevalence and Predictors of Underinsurance Among Low-Income Adults

Source: Hema Magge, Howard J. Cabral, Lewis E. Kazis, Benjamin D. Sommers, Journal of General Internal Medicine, February 2013
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From the abstract:
Background: Millions of adults will gain Medicaid or private insurance in 2014 under the Affordable Care Act, and prior research shows that underinsurance is common among middle-income adults. Less is known about underinsurance among low-income adults, particularly those with public insurance.

Objective: To compare rates of underinsurance among low-income adults with private versus public insurance, and to identify predictors of being underinsured.

Conclusions: Greater than one-third of low-income adults nationally were underinsured. Medicaid recipients were less likely to be underinsured than privately insured adults, indicating potential benefits of expanded Medicaid under health care reform. Nonetheless, more than one-quarter of Medicaid recipients were underinsured, highlighting the importance of addressing cost-related barriers to care even among those with public coverage.