Private Insurance Coverage for Diabetes Before and After Enactment of the Preexisting Condition Mandate of the Affordable Care Act, 2005–2016.

• Autores: Mary A. M. Rogers, Catherine Kim, Joyce M. Lee, Tanima Basu, Renuka Tipirneni
• Localización: American journal of public health, ISSN 0090-0036, Vol. 109, Nº. 4, 2019, págs. 562-564
• Idioma: inglés
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• Resumen

  • Objectives. To examine private insurance coverage for persons with diabetes before and after enactment of the preexisting condition mandate of the Affordable Care Act (ACA) in the United States. Methods. We conducted a nationwide study in adults aged 20 to 59 years with private health insurance with the Clinformatics Data Mart Database (2005–2016). We used fixed-effects negative binomial regression to evaluate differences in pre–post mandate trends. Results. There was a 4% decline in prevalence rates of type 1 diabetes in adults with private health insurance before the mandate and an 11% increase afterward (P <.001). Coverage increased to the greatest extent (–6% before, +20% after) in those aged 50 to 59 years (P <.001). For type 2 diabetes, there was a significant decline in prevalence before the mandate, which increased afterward in those aged 40 to 49 years (–4% before, 3% after; P =.031) and 50 to 59 years (–6% before, 15% after; P <.001). Conclusions. Adults with diabetes may have benefited in obtaining private health insurance after implementation of the preexisting condition mandate of the ACA. Public Health Implications. Efforts to limit enforcement of these protections are likely to contribute to setbacks in access to care. [ABSTRACT FROM AUTHOR] not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)