Health Insurance Coverage Among Veterans Receiving Care From VA Health Care Facilities
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 semis...
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| Veröffentlicht in: | Medical care research and review 2022-08, Vol.79 (4), p.511-524 |
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| container_title | Medical care research and review |
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| creator | 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. |
| description | 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 $50,000 vs. |
| doi_str_mv | 10.1177/10775587211048661 |
| format | Article |
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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.</description><identifier>ISSN: 1077-5587</identifier><identifier>EISSN: 1552-6801</identifier><identifier>DOI: 10.1177/10775587211048661</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Clinical decision making ; Community health care ; Confidence intervals ; Decision making ; Health care ; Health care facilities ; Health insurance ; Insurance ; Insurance coverage ; Interviews ; Mixed methods research ; Regression analysis ; Relatives ; Statistical analysis ; Veterans</subject><ispartof>Medical care research and review, 2022-08, Vol.79 (4), p.511-524</ispartof><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c345t-3b9c96d8c35f1c2fc173550f77a24dad86d28adfb175ad8712116d6c1827c42b3</citedby><cites>FETCH-LOGICAL-c345t-3b9c96d8c35f1c2fc173550f77a24dad86d28adfb175ad8712116d6c1827c42b3</cites><orcidid>0000-0001-9735-4929</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/10775587211048661$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/10775587211048661$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,30976,43597,43598</link.rule.ids></links><search><creatorcontrib>Stroupe, Kevin T.</creatorcontrib><creatorcontrib>Martinez, Rachael</creatorcontrib><creatorcontrib>Hogan, Timothy P.</creatorcontrib><creatorcontrib>Gordon, Elisa J.</creatorcontrib><creatorcontrib>Gonzalez, Beverly</creatorcontrib><creatorcontrib>Tarlov, Elizabeth</creatorcontrib><creatorcontrib>Silva, Abigail</creatorcontrib><creatorcontrib>Huo, Zhiping</creatorcontrib><creatorcontrib>Kale, Ibuola</creatorcontrib><creatorcontrib>Ippolito, Dolores</creatorcontrib><creatorcontrib>Osteen, Chad</creatorcontrib><creatorcontrib>Jordan, Neil</creatorcontrib><creatorcontrib>French, Dustin D.</creatorcontrib><creatorcontrib>Gordon, Howard</creatorcontrib><creatorcontrib>Fischer, Michael J.</creatorcontrib><creatorcontrib>Smith, Bridget M.</creatorcontrib><title>Health Insurance Coverage Among Veterans Receiving Care From VA Health Care Facilities</title><title>Medical care research and review</title><addtitle>Med Care Res Rev</addtitle><description>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.</description><subject>Clinical decision making</subject><subject>Community health care</subject><subject>Confidence intervals</subject><subject>Decision making</subject><subject>Health care</subject><subject>Health care facilities</subject><subject>Health insurance</subject><subject>Insurance</subject><subject>Insurance coverage</subject><subject>Interviews</subject><subject>Mixed methods research</subject><subject>Regression analysis</subject><subject>Relatives</subject><subject>Statistical analysis</subject><subject>Veterans</subject><issn>1077-5587</issn><issn>1552-6801</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp1kF1LwzAUhoMoOD9-gHcBb7zpzEmbj16O4txgIIjuNmRpOjvaZibtwH9vRgeC4tX5et7DOS9Cd0CmAEI8AhGCMSkoAMkk53CGJsAYTbgkcB7zOE-OwCW6CmFHCMmoTCdovbC66T_wsguD152xuHAH6_XW4lnrui1e2z6WXcCv1tj6UMdWob3Fc-9avJ7hk37saVM3dV_bcIMuKt0Ee3uK1-h9_vRWLJLVy_OymK0Sk2asT9JNbnJeSpOyCgytDIiUMVIJoWlW6lLykkpdVhsQLFYC4nu85AYkFSajm_QaPYx79959Djb0qq2DsU2jO-uGoCiThOecS4jo_S905wbfxesU5SLnhAkuIwUjZbwLwdtK7X3dav-lgKij0-qP01EzHTUh2vaz9X_BN_Xme8I</recordid><startdate>20220801</startdate><enddate>20220801</enddate><creator>Stroupe, Kevin T.</creator><creator>Martinez, Rachael</creator><creator>Hogan, Timothy P.</creator><creator>Gordon, Elisa J.</creator><creator>Gonzalez, Beverly</creator><creator>Tarlov, Elizabeth</creator><creator>Silva, Abigail</creator><creator>Huo, Zhiping</creator><creator>Kale, Ibuola</creator><creator>Ippolito, Dolores</creator><creator>Osteen, Chad</creator><creator>Jordan, Neil</creator><creator>French, Dustin D.</creator><creator>Gordon, Howard</creator><creator>Fischer, Michael J.</creator><creator>Smith, Bridget M.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9735-4929</orcidid></search><sort><creationdate>20220801</creationdate><title>Health Insurance Coverage Among Veterans Receiving Care From VA Health Care Facilities</title><author>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.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c345t-3b9c96d8c35f1c2fc173550f77a24dad86d28adfb175ad8712116d6c1827c42b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Clinical decision making</topic><topic>Community health care</topic><topic>Confidence intervals</topic><topic>Decision making</topic><topic>Health care</topic><topic>Health care facilities</topic><topic>Health insurance</topic><topic>Insurance</topic><topic>Insurance coverage</topic><topic>Interviews</topic><topic>Mixed methods research</topic><topic>Regression analysis</topic><topic>Relatives</topic><topic>Statistical analysis</topic><topic>Veterans</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stroupe, Kevin T.</creatorcontrib><creatorcontrib>Martinez, Rachael</creatorcontrib><creatorcontrib>Hogan, Timothy P.</creatorcontrib><creatorcontrib>Gordon, Elisa J.</creatorcontrib><creatorcontrib>Gonzalez, Beverly</creatorcontrib><creatorcontrib>Tarlov, Elizabeth</creatorcontrib><creatorcontrib>Silva, Abigail</creatorcontrib><creatorcontrib>Huo, Zhiping</creatorcontrib><creatorcontrib>Kale, Ibuola</creatorcontrib><creatorcontrib>Ippolito, Dolores</creatorcontrib><creatorcontrib>Osteen, Chad</creatorcontrib><creatorcontrib>Jordan, Neil</creatorcontrib><creatorcontrib>French, Dustin D.</creatorcontrib><creatorcontrib>Gordon, Howard</creatorcontrib><creatorcontrib>Fischer, Michael J.</creatorcontrib><creatorcontrib>Smith, Bridget M.</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Medical care research and review</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stroupe, Kevin T.</au><au>Martinez, Rachael</au><au>Hogan, Timothy P.</au><au>Gordon, Elisa J.</au><au>Gonzalez, Beverly</au><au>Tarlov, Elizabeth</au><au>Silva, Abigail</au><au>Huo, Zhiping</au><au>Kale, Ibuola</au><au>Ippolito, Dolores</au><au>Osteen, Chad</au><au>Jordan, Neil</au><au>French, Dustin D.</au><au>Gordon, Howard</au><au>Fischer, Michael J.</au><au>Smith, Bridget M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health Insurance Coverage Among Veterans Receiving Care From VA Health Care Facilities</atitle><jtitle>Medical care research and review</jtitle><addtitle>Med Care Res Rev</addtitle><date>2022-08-01</date><risdate>2022</risdate><volume>79</volume><issue>4</issue><spage>511</spage><epage>524</epage><pages>511-524</pages><issn>1077-5587</issn><eissn>1552-6801</eissn><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.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><doi>10.1177/10775587211048661</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0001-9735-4929</orcidid></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete; Alma/SFX Local Collection |
| subjects | Clinical decision making Community health care Confidence intervals Decision making Health care Health care facilities Health insurance Insurance Insurance coverage Interviews Mixed methods research Regression analysis Relatives Statistical analysis Veterans |
| title | Health Insurance Coverage Among Veterans Receiving Care From VA Health Care Facilities |
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