Trends in private insurance, Medicaid/State Children's Health Insurance Program, and the Healthcare Safety Net: implications for vulnerable populations and health disparities.

Abstract:

:This chapter examines trends in private and public health coverage, as well as implications for vulnerable populations and health disparities. We find that there has been erosion in employment-based health benefits. Both the percentage of employers offering coverage and the percentage of workers with coverage declined in recent years. Those with coverage face eroding benefits and increased cost sharing. Within the public sector, Medicaid enrollment has decreased, with benefits increasingly restricted. Although State Children's Health Insurance Program (SCHIP) enrollment has increased among low-income children, the future of SCHIP remains uncertain. Meeting the healthcare needs of Americans and reducing health disparities requires both the provision of health coverage to all and sufficient comprehensiveness of benefits within private and public programs to meet enrollees' healthcare needs. Our findings suggest that we have a long way to go in reaching these goals.

journal_name

Ann N Y Acad Sci

authors

Shields AE,McGinn-Shapiro M,Fronstin P

doi

10.1196/annals.1425.029

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

137-48

eissn

0077-8923

issn

1749-6632

pii

1136/1/137

journal_volume

1136

pub_type

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