Quality of Health Insurance Coverage and Access to Care for Children in Low-Income Families

In JAMA Pediatrics, Amanda Kreider and colleagues, including Benjamin French, Jaya Aysola, Brendan Saloner, Kathleen Noonan and David Rubin, compare health care access, quality and cost outcomes by insurance type for children in low or moderate income households. Using family-reported measures from the National Surveys of Children’s Health, the authors examined children’s access to preventive and specialty care and caregiver satisfaction with insurance coverage, and also characterized unmet health needs and out-of-pocket costs over the last decade. The analysis revealed that Medicaid and CHIP programs provide preventive medical (Medicaid and CHIP, 88%) and dental (Medicaid, 80%; CHIP 77%) care at higher rates than commercial insurance plans (medical, 83%; dental, 73%) for families with low to moderate incomes. Additionally, their analyses suggest that Medicaid might provide better access to specialty services for children than either CHIP or commercial coverage.

See the blog post on this study.