Trends in Health Care Financial Burdens, 2001 to 2009.

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    • Subject Terms:
    • Abstract:
      Context Over the past decade, health care spending increased faster than GDP and income, and decreasing affordability is cited as contributing to personal bankruptcies and as a reason that some of the nonelderly population is uninsured. We examined the trends in health care affordability over the past decade, measuring the financial burdens associated with health insurance premiums and out-of-pocket costs and highlighting implications of the Affordable Care Act for the future financial burdens of particular populations. Methods We used cross sections of the Medical Expenditure Panel Survey Household Component (MEPS-HC) from 2001 to 2009. We defined financial burden at the health insurance unit (HIU) level and calculated it as the ratio of expenditures on health care-employer-sponsored insurance coverage (ESI) and private nongroup premiums and out-of-pocket payments-to modified adjusted gross income. Findings The median health care financial burden grew on average by 2.7% annually and by 21.9% over the period. Using a range of definitions, the fraction of households facing high financial burdens increased significantly. For example, the share of HIUs with health care expenses exceeding 10% of income increased from 35.9% to 44.8%, a 24.8% relative increase. The share of the population in HIUs with health care financial burdens between 2% and 10% fell, and the share with burdens between 10% and 44% rose. Conclusions We found a clear trend over the past decade toward an increasing share of household income devoted to health care. The ACA will affect health care spending for subgroups of the population differently. Several groups' burdens will likely decrease, including those becoming eligible for Medicaid or subsidized private insurance and those with expensive medical conditions. Those newly obtaining coverage might increase their health spending relative to income, but they will gain access to care and the ability to spread their expenditures over time, both of which have demonstrable economic value. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • ISSN:
      0887-378X
    • Accession Number:
      10.1111/1468-0009.12042
    • Accession Number:
      94777910
  • Citations
    • ABNT:
      BLUMBERG, L. J. et al. Trends in Health Care Financial Burdens, 2001 to 2009. Milbank Quarterly, [s. l.], v. 92, n. 1, p. 88–113, 2014. Disponível em: . Acesso em: 14 nov. 2019.
    • AMA:
      BLUMBERG LJ, WAIDMANN TA, BLAVIN F, ROTH J. Trends in Health Care Financial Burdens, 2001 to 2009. Milbank Quarterly. 2014;92(1):88-113. doi:10.1111/1468-0009.12042.
    • APA:
      BLUMBERG, L. J., WAIDMANN, T. A., BLAVIN, F., & ROTH, J. (2014). Trends in Health Care Financial Burdens, 2001 to 2009. Milbank Quarterly, 92(1), 88–113. https://doi.org/10.1111/1468-0009.12042
    • Chicago/Turabian: Author-Date:
      BLUMBERG, LINDA J., TIMOTHY A. WAIDMANN, FREDRIC BLAVIN, and JEREMY ROTH. 2014. “Trends in Health Care Financial Burdens, 2001 to 2009.” Milbank Quarterly 92 (1): 88–113. doi:10.1111/1468-0009.12042.
    • Harvard:
      BLUMBERG, L. J. et al. (2014) ‘Trends in Health Care Financial Burdens, 2001 to 2009’, Milbank Quarterly, 92(1), pp. 88–113. doi: 10.1111/1468-0009.12042.
    • Harvard: Australian:
      BLUMBERG, LJ, WAIDMANN, TA, BLAVIN, F & ROTH, J 2014, ‘Trends in Health Care Financial Burdens, 2001 to 2009’, Milbank Quarterly, vol. 92, no. 1, pp. 88–113, viewed 14 November 2019, .
    • MLA:
      BLUMBERG, LINDA J., et al. “Trends in Health Care Financial Burdens, 2001 to 2009.” Milbank Quarterly, vol. 92, no. 1, Mar. 2014, pp. 88–113. EBSCOhost, doi:10.1111/1468-0009.12042.
    • Chicago/Turabian: Humanities:
      BLUMBERG, LINDA J., TIMOTHY A. WAIDMANN, FREDRIC BLAVIN, and JEREMY ROTH. “Trends in Health Care Financial Burdens, 2001 to 2009.” Milbank Quarterly 92, no. 1 (March 2014): 88–113. doi:10.1111/1468-0009.12042.
    • Vancouver/ICMJE:
      BLUMBERG LJ, WAIDMANN TA, BLAVIN F, ROTH J. Trends in Health Care Financial Burdens, 2001 to 2009. Milbank Quarterly [Internet]. 2014 Mar [cited 2019 Nov 14];92(1):88–113. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=94777910