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Parent Ratings of Health Insurance Adequacy for Children with Emotional, Behavioral, or Developmental Problems

Genevieve Graaf1, Ashley N Palmer2

  • 1School of Social Work (G Graaf), The University of Texas at Arlington, Arlington, Tex.

Academic Pediatrics
|November 6, 2022
PubMed

Insights

Parents with privately insured children with special health care needs (CSHCN) and emotional, behavioral, or developmental problems (EBDPs) reported the lowest insurance adequacy. Public insurance was rated as more adequate across all groups compared to private insurance.

Area of Science:

  • Health Services Research
  • Pediatric Health
  • Insurance Studies

Background:

  • Parents of children with special health care needs (CSHCN) often find private insurance less adequate than public coverage.
  • This inadequacy may be more pronounced for CSHCN with emotional, behavioral, or developmental problems (EBDPs) due to their need for diverse non-medical services.

Purpose of the Study:

  • To compare parent-reported insurance adequacy between public and private health coverage.
  • To assess these differences across children without special health care needs, CSHCN, and CSHCN with EBDPs.

Main Methods:

  • Utilized pooled data from the 2016-2019 National Survey of Children's Health.
  • Employed multivariable fixed effects logistic regression to analyze insurance type, CSHCN, and EBDP status against insurance adequacy ratings.
  • Calculated marginal effects to quantify the associations and interactions.

Main Results:

  • Public insurance was consistently rated as more adequate than private insurance across all subgroups.
  • Parents of privately insured CSHCN with EBDPs reported the lowest insurance adequacy (55%).
  • This group's adequacy ratings were significantly lower than privately insured children without EBDPs (67%) and publicly insured children (87%).

Conclusions:

  • Findings highlight significant disparities in perceived insurance adequacy, particularly for vulnerable CSHCN populations.
  • Further research is recommended to correlate these perceptions with actual service access and unmet healthcare needs for CSHCN with EBDPs.
Abstract

Keywords:
children with emotional, behavioral, or developmental problemschildren with special health care needsinsurance adequacy

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