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- Title
Health Insurance Coverage Among Veterans Receiving Care From VA Health Care Facilities.
- Authors
Stroupe, Kevin T.; Martinez, Rachael; Hogan, Timothy P.; Gordon, Elisa J.; Gonzalez, Beverly; Tarlov, Elizabeth; Silva, Abigail; Huo, Zhiping; Kale, Ibuola; Ippolito, Dolores; Osteen, Chad; Jordan, Neil; French, Dustin D.; Gordon, Howard; Fischer, Michael J.; Smith, Bridget M.
- Abstract
Reasons for acquiring insurance outside Department of Veterans Affairs (VA) health care coverage among VA enrollees are incompletely understood. To assess Veterans' decision-making and acquisition of non-VA health care insurance in the Affordable Care Act era, we used mailed questionnaires and semistructured interviews in a stratified random sample of VA enrollees <65 years in the Midwest. Of the 3,666 survey participants, 32.1% reported non-VA insurance. Frequently reported reasons included wanting coverage for emergency situations or family members. Those without non-VA insurance cited unaffordability as the main obstacle. Analysis of the semistructured interview data revealed similar findings. In multivariable logistic regression analyses, characteristics associated with non-VA insurance included higher income (>$50,000 vs. <$10,000, odds ratio [OR] = 5.95, 95% confidence interval [CI]: 3.45–10.3, p <.001). As financial barriers exist for acquisition of non-VA insurance and hence community care, it is critically important that VA enrollees' health care needs are met through VA or community providers financed through VA.
- Subjects
MIDWEST (U.S.); UNITED States. Dept. of Veterans Affairs; HEALTH insurance; HEALTH facilities; MEDICAL needs assessment; PATIENT Protection &; Affordable Care Act; LOGISTIC regression analysis; INSURANCE
- Publication
Medical Care Research & Review, 2022, Vol 79, Issue 4, p511
- ISSN
1077-5587
- Publication type
Article
- DOI
10.1177/10775587211048661