Transitions in health insurance among continuously insured patients with schizophrenia
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View abstract on PubMed
Summary
This summary is machine-generated.Insurance transitions are common for individuals with schizophrenia, even when continuously insured. These changes can disrupt essential medical and pharmaceutical care, highlighting a significant barrier to treatment continuity.
Area Of Science
- Health Services Research
- Psychiatry
- Health Insurance Policy
Background
- Continuity of care is crucial for managing schizophrenia, requiring consistent medical and pharmaceutical treatment.
- Little is known about insurance coverage stability among individuals with schizophrenia.
- Health insurance changes can disrupt patient access to and continuity of care.
Purpose Of The Study
- To examine the probability of insurance transitions for continuously insured individuals with schizophrenia.
- To determine if insurance transition probability varies by insurance type.
Main Methods
- Analysis of the Massachusetts All-Payer Claims Database for individuals aged 18-64 with schizophrenia.
- Inclusion of individuals continuously insured over a two-year period (2014-2018).
- Logistic regression to assess factors associated with insurance transitions, adjusting for demographics and socioeconomic status.
Main Results
- 15.1% of continuously insured individuals with schizophrenia experienced at least one insurance transition over 24 months.
- Insurance transitions were most frequent among those with Marketplace plans.
- Medicaid enrollees were significantly less likely (20.2 pp) to experience transitions compared to Marketplace plan holders.
Conclusions
- Insurance transitions are common among continuously insured individuals with schizophrenia.
- These transitions represent a potential barrier to accessing and maintaining consistent care for schizophrenia.
- Further attention is needed to address insurance transitions as a barrier to care access and continuity.
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