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- Title
Insurance Coverage for Non-standard Workers: Experiences of Temporary Workers, Freelancers, and Part-time Workers in the USA, 2010–2017.
- Authors
Berdahl, Terceira Ann; Moriya, Asako S.
- Abstract
Objective: To estimate insurance disparities across non-standard employment categories and to determine how coverage disparities shifted following health reform in 2014. Methods: We analyzed nationally representative data on working-age adults from the Medical Expenditure Panel Survey (MEPS) (2010–2012 and 2015–2017, N=79,182) to estimate insurance rates across three groups of non-standard workers (full-time temporary workers, freelancers, and part-time workers) compared to standard workers. Results: Uninsurance decreased after health reform for all groups of non-standard workers, ranging from a 10.0- to 14.3-percentage point decline (p<0.001). Yet, uninsurance rates remained high for freelancers (30.8%), full-time temporary workers (25.1%), and part-time workers (17.9%) relative to standard workers (11.9%) in 2015–2017 (p<0.001). Residence in a Medicaid expansion state was associated with lower uninsurance rates for all categories of workers. Conclusions: Workers in non-standard jobs continue to face challenges obtaining health insurance coverage. Our findings highlight the continued high risk of uninsurance for full-time temporary workers and freelancers.
- Subjects
TEMPORARY employees; INSURANCE; HEALTH insurance; FREELANCERS; ADULTS
- Publication
JGIM: Journal of General Internal Medicine, 2021, Vol 36, Issue 7, p1997
- ISSN
0884-8734
- Publication type
Article
- DOI
10.1007/s11606-021-06700-0