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Title

Disparities in Pediatric Provider Availability by Insurance Type After the ACA in California (Academic Pediatrics)

Publication Topics

Access to Health Care; California Health Interview Survey; 2014 California Health Interview Survey (CHIS 2014); 2015 California Health Interview Survey (CHIS 2015); 2016 California Health Interview Survey (CHIS 2016); Health Insurance Expansion; Medicaid/Medi-Cal; Employment-based coverage; Adolescents/Children

Publication Type

CHIS Journal Article

Publication Date

2018-09-12T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1557&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1557&RootFolder=*">Jessie Kemmick Pintor</a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1160&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1160&RootFolder=*">Héctor E. Alcalá</a>

Author 3

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=202&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=202&RootFolder=*">Dylan H. Roby, PhD</a>

Author 4

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1234&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1234&RootFolder=*">David T. Grande</a>

Author 5

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1561&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1561&RootFolder=*">Cinthya K. Alberto</a>

Author 6

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1414&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1414&RootFolder=*">Ryan M. McKenna</a>

Author 7

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=69&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=69&RootFolder=*">Alexander N. Ortega</a>

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Abstract

The article examines insurance-based disparities in provider-related barriers to care among children in California in the wake of changes to the insurance market resulting from the Affordable Care Act. Data from the 2014-16 California Health Interview Survey (CHIS) were analyzed for 6,514 children ages 0-11 years. Authors examined parent reports in the past year of 1) having trouble finding a general provider for the child, 2) the child not being accepted by a provider as a new patient, 3) the child’s health insurance not being accepted by a provider, and 4) any of the above.

Multivariable models estimated the associations of insurance type (Medi-Cal/Medicaid), employer-sponsored insurance (ESI), and privately purchased coverage) and parent reports of these problems. Approximately 8 percent of parents had encountered at least  1 of the 3 problems. Compared with parents of children with ESI, parents of children with Medi-Cal or privately purchased coverage had more than twice the odds of experiencing at least one of the barriers. Parents of children with Medi-Cal had more than twice the odds of having been told a provider would not accept their children’s coverage or having had trouble finding a general provider and three times the odds of having been told a provider would not accept their children as new patients. Parents of children with privately purchased coverage had over three times the odds of having been told a provider would not accept their children’s coverage.

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Article 1

Journal Article: Disparities in Pediatric Provider Availability by Insurance Type After the ACA in California

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Press Release

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California Health Interview Survey (CHIS)

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Version: 2.0
Created at 9/28/2018 12:28 PM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 9/28/2018 12:31 PM by i:0#.f|uclachissqlmembershipprovider|celeste