Maternal and Child Health Journal

, Volume 18, Issue 4, pp 1007–1016

Recent Health Insurance Trends for US Families: Children Gain While Parents Lose

  • Jennifer E. DeVoe
  • Carrie J. Tillotson
  • Heather Angier
  • Lorraine S. Wallace
Article

DOI: 10.1007/s10995-013-1329-3

Cite this article as:
DeVoe, J.E., Tillotson, C.J., Angier, H. et al. Matern Child Health J (2014) 18: 1007. doi:10.1007/s10995-013-1329-3

Abstract

In the past decade, political and economic changes in the United States (US) have affected health insurance coverage for children and their parents. Most likely these policies have differentially affected coverage patterns for children (versus parents) and for low-income (versus high-income) families. We aimed to examine—qualitatively and quantitatively—the impact of changing health insurance coverage on US families. Primary data from interviews with Oregon families (2008–2010) were analyzed using an iterative process. Qualitative findings guided quantitative analyses of secondary data from the nationally-representative Medical Expenditure Panel Survey (MEPS) (1998–2009); we used Joinpoint Regression to assess average annual percent changes (AAPC) in health insurance trends, examining child and parent status and type of coverage stratified by income. Interviewees reported that although children gained coverage, parents lost coverage. MEPS analyses confirmed this trend; the percentage of children uninsured all year decreased from 9.6 % in 1998 to 6.1 % in 2009; AAPC = −3.1 % (95 % confidence interval [CI] from −5.1 to −1.0), while the percentage of parents uninsured all year rose from 13.6 % in 1998 to 17.1 % in 2009, AAPC = 2.7 % (95 % CI 1.8–3.7). Low-income families experienced the most significant changes in coverage. Between 1998 and 2009, as US children gained health insurance, their parents lost coverage. Children’s health is adversely affected when parents are uninsured. Investigation beyond children’s coverage rates is needed to understand how health insurance policies and changing health insurance coverage trends are impacting children’s health.

Keywords

Health insurance Access to care Health services research Health policy Health care disparities Children’s health care 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Jennifer E. DeVoe
    • 1
    • 2
  • Carrie J. Tillotson
    • 1
  • Heather Angier
    • 1
  • Lorraine S. Wallace
    • 3
  1. 1.Oregon Health & Science UniversityPortlandUSA
  2. 2.OCHINPortlandUSA
  3. 3.The Ohio State UniversityColumbusUSA

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