Catastrophic health expenditures: a disproportionate risk in uninsured ethnic minorities with diabetes

Autor: Sebastian Linde, Leonard E. Egede
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Health Economics Review, Vol 14, Iss 1, Pp 1-11 (2024)
Druh dokumentu: article
ISSN: 2191-1991
DOI: 10.1186/s13561-024-00486-7
Popis: Abstract Background Chargemaster prices are the list prices that providers and health systems assign to each of their medical services in the US. These charges are often several factors of magnitude higher than those extended to individuals with either private or public insurance, however, these list prices are billed in full to uninsured patients, putting them at increased risk of catastrophic health expenditures (CHE). The objective of this study was to examine the risk of CHE across insurance status, diabetes diagnosis and to examine disparity gaps across race/ethnicity. Methods We perform a retrospective observational study on a nationally representative cohort of adult patients from the Medical Expenditure Panel Survey for the years 2002–2017. Using logistic regression models we estimate the risk of CHE across insurance status, diabetes diagnosis and explore disparity gaps across race/ethnicity. Results Our fully adjusted results show that the relative odds of having CHE if uninsured is 5.9 (p
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