Health Affairs

Eroding Access Among Nonelderly U.S. Adults With Chronic Conditions: Ten Years Of Change

Catherine Hoffman ^1* Karyn Schwartz ²

¹ Catherine Hoffman is associate director and senior researcher at the Kaiser Commission on Medicaid and the Uninsured, located in Washington, D.C.
² Karyn Schwartz is a senior policy analyst with the commission.

^*Corresponding author.

Abstract

Both the connection to health care and its affordability worsened for many nonelderly U.S. adults living with chronic conditions between 1997 and 2006. This erosion varied by health insurance coverage, fundamental as it is to securing health services. Access to care among uninsured adults with chronic conditions deteriorated on all of our basic measures between 1997 and 2006. In addition, more of both the privately and publicly insured with chronic conditions went without health care because of its cost over this ten-year span, even while they were just as likely as or more likely than others to have a usual source of care over time. [Health Affairs 27, no. 5 (2008): w340-w348 (published online 22 July 2008; 10.1377/hlthaff.27.5.w340)]

Key Words: Access To Care, Chronic Care, Consumer Issues, Insurance Coverage, Managed Care - Consumers, Health Spending, Insurance Market

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