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Related Experiment Videos

The uninsured access gap: narrowing the estimates

M S Marquis1, S H Long

  • 1RAND, Washington, DC 20037-1270.

Inquiry : a Journal of Medical Care Organization, Provision and Financing
|January 1, 1994
PubMed
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Estimating the uninsured access gap is crucial for universal coverage costs. This study narrows the range of estimates, showing uninsured health consumption would increase by 50%, raising total healthcare spending by 2%.

Area of Science:

  • Health Economics
  • Healthcare Policy
  • Public Health

Background:

  • Accurate estimation of the uninsured access gap is essential for assessing the financial implications of universal healthcare coverage.
  • Existing literature presents a wide range of estimates for the uninsured access gap, hindering policy development.
  • Understanding the drivers of this variability is critical for refining cost projections.

Purpose of the Study:

  • To investigate the factors contributing to the wide range of estimates for the uninsured access gap.
  • To narrow the range of estimates by adjusting for key differences in existing studies.
  • To provide a more precise projection of healthcare consumption by the uninsured population.

Main Methods:

  • Utilized databases that serve as the source for existing estimates of the uninsured access gap.

Related Experiment Videos

  • Analyzed variations in time periods, study populations, control variables, and definitional differences across studies.
  • Applied statistical adjustments to reconcile discrepancies and narrow the range of estimated access gaps.

    • Main Results:

    • Significant differences in time, populations, control variables, and definitions were identified as key factors in the wide range of estimates.
    • After adjusting for these identified differences, the estimates for the uninsured access gap were considerably narrowed.
    • The study estimates a 50% increase in health consumption by the uninsured population.

    Conclusions:

    • The refined estimates suggest a more predictable increase in healthcare utilization among the uninsured.
    • This projected increase in consumption implies a modest rise of approximately 2% in total healthcare spending.
    • These findings provide a more reliable basis for policymakers to plan and budget for universal healthcare coverage.