Knowledge as a Predictor of Insurance Coverage Under the Affordable Care Act
Bibliographic Data
| ID | 9101056 |
|---|---|
| Authors | Maximiliane Hoerl (Ludwig-Maximilians-Universität München, corresponding author), Amelie Wuppermann (0000-0003-1131-3048, Ludwig-Maximilians-Universität München, corresponding author), Silvia H Barcellos (University of Southern California), Silvia Barcellos (University of Southern California), Sebastian Bauhoff (0000-0001-6017-4991, Center for Global Development, Washington, DC), Joachim Winter (0000-0003-2460-619X, corresponding author), Joachim K Winter (Ludwig-Maximilians-Universität München), Katherine G Carman (0000-0002-5760-4441, The RAND Corporation, Santa Monica, CA) |
| Year | 2017 |
| Volume | 55 |
| Issue | 4 |
| Pages | 428-435 |
| Publication date | 2017-04-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000671 |
| PMID | 27820594 |
| OpenAlex | W2548311018 |
| Language | EN |
| Citations received | 3 |
| References cited | 15 |
BACKGROUND: The Affordable Care Act established policy mechanisms to increase health insurance coverage in the United States. While insurance coverage has increased, 10%-15% of the US population remains uninsured. OBJECTIVES: To assess whether health insurance literacy and financial literacy predict being uninsured, covered by Medicaid, or covered by Marketplace insurance, holding demographic characteristics, attitudes toward risk, and political affiliation constant. RESEARCH DESIGN: Analysis of longitudinal data from fall 2013 and spring 2015 including financial and health insurance literacy and key covariates collected in 2013. SUBJECTS: A total of 2742 US residents ages 18-64, 525 uninsured in fall 2013, participating in the RAND American Life Panel, a nationally representative internet panel. MEASURES: Self-reported health insurance status and type as of spring 2015. RESULTS: Among the uninsured in 2013, higher financial and health insurance literacy were associated with greater probability of being insured in 2015. For a typical uninsured individual in 2013, the probability of being insured in 2015 was 8.3 percentage points higher with high compared with low financial literacy, and 9.2 percentage points higher with high compared with low health insurance literacy. For the general population, those with high financial and health insurance literacy were more likely to obtain insurance through Medicaid or the Marketplaces compared with being uninsured. The magnitude of coefficients for these predictors was similar to that of commonly used demographic covariates. CONCLUSIONS: A lack of understanding about health insurance concepts and financial illiteracy predict who remains uninsured. Outreach and consumer-education programs should consider these characteristics
Actuarial science · Business · Economic growth · Economics · Environmental health · Financial literacy · Health care · Health literacy · Medicaid · Outreach · Population · Finance · Food Security and Health in Diverse Populations · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes
Financial literacy and retirement planning in the United States
Public Trust in Physicians — U.S. Medicine in International Perspective
Changes in Self-reported Insurance Coverage, Access to Care, and Health Under the Affordable Care Act
Financial literacy around the world
Individual Risk Attitudes
Financial literacy and stock market participation
The Rand Continuous 2012 Presidential Election Poll
| Citations per year | 0.38 |
|---|---|
| Citation span | 2018 - 2020 (3) |
| Highly cited | No |