Trends in Health Insurance and Type Among Military Veterans: United States, 2000-2016
To describe long-term national trends in health insurance coverage among US veterans from 2000 to 2016 in the context of recent health care reform. We used 2000 to 2016 National Health Interview Survey data on veterans aged 18 to 64 years to examine trends in insurance coverage and uninsurance by ye...
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| Veröffentlicht in: | American journal of public health (1971) 2018-03, Vol.108 (3), p.361-367 |
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| container_title | American journal of public health (1971) |
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| creator | Zelaya, Carla E Nugent, Colleen N |
| description | To describe long-term national trends in health insurance coverage among US veterans from 2000 to 2016 in the context of recent health care reform.
We used 2000 to 2016 National Health Interview Survey data on veterans aged 18 to 64 years to examine trends in insurance coverage and uninsurance by year, income, and state Medicaid expansion status. We also explored the current proportions of veterans with each type of insurance by age group.
The percentage of veterans with private insurance decreased from 70.8% in 2000 to 56.9% in 2011, whereas between 2000 and 2016 Department of Veterans Affairs (VA) health care coverage (only) almost tripled, Medicaid (without concurrent TRICARE or private coverage) doubled, and TRICARE coverage of any type tripled. After 2011, the percentage of veterans who were uninsured decreased. In 2016, low-income veterans in Medicaid expansion states had double the Medicaid coverage (41.1%) of low-income veterans in nonexpansion states (20.1%).
Our estimates, which are nationally representative of noninstitutionalized veterans, show marked increases in military-related coverage through TRICARE and VA health care. In 2016, only 7.2% of veterans aged 18 to 64 years and 3.7% of all veterans (aged 18 years or older) remained uninsured. |
| doi_str_mv | 10.2105/AJPH.2017.304212 |
| format | Article |
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We used 2000 to 2016 National Health Interview Survey data on veterans aged 18 to 64 years to examine trends in insurance coverage and uninsurance by year, income, and state Medicaid expansion status. We also explored the current proportions of veterans with each type of insurance by age group.
The percentage of veterans with private insurance decreased from 70.8% in 2000 to 56.9% in 2011, whereas between 2000 and 2016 Department of Veterans Affairs (VA) health care coverage (only) almost tripled, Medicaid (without concurrent TRICARE or private coverage) doubled, and TRICARE coverage of any type tripled. After 2011, the percentage of veterans who were uninsured decreased. In 2016, low-income veterans in Medicaid expansion states had double the Medicaid coverage (41.1%) of low-income veterans in nonexpansion states (20.1%).
Our estimates, which are nationally representative of noninstitutionalized veterans, show marked increases in military-related coverage through TRICARE and VA health care. In 2016, only 7.2% of veterans aged 18 to 64 years and 3.7% of all veterans (aged 18 years or older) remained uninsured.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2017.304212</identifier><identifier>PMID: 29345997</identifier><language>eng</language><publisher>United States: American Public Health Association</publisher><subject><![CDATA[Adult ; AJPH Research ; Government programs ; Group insurance ; Health care ; Health care industry ; Health care policy ; Health Care Reform ; Health insurance ; Health Reform ; Health services ; Health Surveys ; Humans ; Income ; Insurance ; Insurance coverage ; Insurance Coverage - statistics & numerical data ; Insurance Coverage - trends ; Insurance, Health - classification ; Insurance, Health - statistics & numerical data ; Insurance, Health - trends ; Medicaid ; Medicaid - statistics & numerical data ; Medically Uninsured - statistics & numerical data ; Middle Aged ; Military personnel ; Patient Protection & Affordable Care Act 2010-US ; Public health ; Surveys ; Trends ; Uninsured people ; United States ; United States Department of Veterans Affairs - statistics & numerical data ; Veterans ; Veterans - statistics & numerical data]]></subject><ispartof>American journal of public health (1971), 2018-03, Vol.108 (3), p.361-367</ispartof><rights>Copyright American Public Health Association Mar 2018</rights><rights>American Public Health Association 2018 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-e4f6b7258034a51465e85bdcefac88402b09db8ac830681dc334d0572c2c58243</citedby><cites>FETCH-LOGICAL-c424t-e4f6b7258034a51465e85bdcefac88402b09db8ac830681dc334d0572c2c58243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5803799/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5803799/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27843,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29345997$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zelaya, Carla E</creatorcontrib><creatorcontrib>Nugent, Colleen N</creatorcontrib><title>Trends in Health Insurance and Type Among Military Veterans: United States, 2000-2016</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>To describe long-term national trends in health insurance coverage among US veterans from 2000 to 2016 in the context of recent health care reform.
We used 2000 to 2016 National Health Interview Survey data on veterans aged 18 to 64 years to examine trends in insurance coverage and uninsurance by year, income, and state Medicaid expansion status. We also explored the current proportions of veterans with each type of insurance by age group.
The percentage of veterans with private insurance decreased from 70.8% in 2000 to 56.9% in 2011, whereas between 2000 and 2016 Department of Veterans Affairs (VA) health care coverage (only) almost tripled, Medicaid (without concurrent TRICARE or private coverage) doubled, and TRICARE coverage of any type tripled. After 2011, the percentage of veterans who were uninsured decreased. In 2016, low-income veterans in Medicaid expansion states had double the Medicaid coverage (41.1%) of low-income veterans in nonexpansion states (20.1%).
Our estimates, which are nationally representative of noninstitutionalized veterans, show marked increases in military-related coverage through TRICARE and VA health care. In 2016, only 7.2% of veterans aged 18 to 64 years and 3.7% of all veterans (aged 18 years or older) remained uninsured.</description><subject>Adult</subject><subject>AJPH Research</subject><subject>Government programs</subject><subject>Group insurance</subject><subject>Health care</subject><subject>Health care industry</subject><subject>Health care policy</subject><subject>Health Care Reform</subject><subject>Health insurance</subject><subject>Health Reform</subject><subject>Health services</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Income</subject><subject>Insurance</subject><subject>Insurance coverage</subject><subject>Insurance Coverage - statistics & numerical data</subject><subject>Insurance Coverage - trends</subject><subject>Insurance, Health - classification</subject><subject>Insurance, Health - statistics & numerical data</subject><subject>Insurance, Health - trends</subject><subject>Medicaid</subject><subject>Medicaid - statistics & numerical data</subject><subject>Medically Uninsured - statistics & numerical data</subject><subject>Middle Aged</subject><subject>Military personnel</subject><subject>Patient Protection & Affordable Care Act 2010-US</subject><subject>Public health</subject><subject>Surveys</subject><subject>Trends</subject><subject>Uninsured people</subject><subject>United States</subject><subject>United States Department of Veterans Affairs - statistics & numerical data</subject><subject>Veterans</subject><subject>Veterans - statistics & numerical 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N</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in Health Insurance and Type Among Military Veterans: United States, 2000-2016</atitle><jtitle>American journal of public health (1971)</jtitle><addtitle>Am J Public Health</addtitle><date>2018-03</date><risdate>2018</risdate><volume>108</volume><issue>3</issue><spage>361</spage><epage>367</epage><pages>361-367</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><abstract>To describe long-term national trends in health insurance coverage among US veterans from 2000 to 2016 in the context of recent health care reform.
We used 2000 to 2016 National Health Interview Survey data on veterans aged 18 to 64 years to examine trends in insurance coverage and uninsurance by year, income, and state Medicaid expansion status. We also explored the current proportions of veterans with each type of insurance by age group.
The percentage of veterans with private insurance decreased from 70.8% in 2000 to 56.9% in 2011, whereas between 2000 and 2016 Department of Veterans Affairs (VA) health care coverage (only) almost tripled, Medicaid (without concurrent TRICARE or private coverage) doubled, and TRICARE coverage of any type tripled. After 2011, the percentage of veterans who were uninsured decreased. In 2016, low-income veterans in Medicaid expansion states had double the Medicaid coverage (41.1%) of low-income veterans in nonexpansion states (20.1%).
Our estimates, which are nationally representative of noninstitutionalized veterans, show marked increases in military-related coverage through TRICARE and VA health care. In 2016, only 7.2% of veterans aged 18 to 64 years and 3.7% of all veterans (aged 18 years or older) remained uninsured.</abstract><cop>United States</cop><pub>American Public Health Association</pub><pmid>29345997</pmid><doi>10.2105/AJPH.2017.304212</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult AJPH Research Government programs Group insurance Health care Health care industry Health care policy Health Care Reform Health insurance Health Reform Health services Health Surveys Humans Income Insurance Insurance coverage Insurance Coverage - statistics & numerical data Insurance Coverage - trends Insurance, Health - classification Insurance, Health - statistics & numerical data Insurance, Health - trends Medicaid Medicaid - statistics & numerical data Medically Uninsured - statistics & numerical data Middle Aged Military personnel Patient Protection & Affordable Care Act 2010-US Public health Surveys Trends Uninsured people United States United States Department of Veterans Affairs - statistics & numerical data Veterans Veterans - statistics & numerical data |
| title | Trends in Health Insurance and Type Among Military Veterans: United States, 2000-2016 |
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