Navigation Links
Kaiser Permanente study finds continuous health coverage essential for patients managing diabetes

January 04, 2012-PORTLAND, Ore. When patients with diabetes experience interruptions in health - insurance coverage, they are less likely to receive the screening tests and vaccines they need to protect their health. A new study finds that this is true even when patients receive free or reduced-cost medical care at federally funded safety net clinics.

The study was funded in part by the National Institutes of Health and findings published online in the Journal of the American Board of Family Medicine.

Our study shows that patients need continuous health insurance coverage in order to ensure adequate preventive care, even when that care is provided at a reduced cost, said Rachel Gold, PhD, MPH, lead author and investigator with the Kaiser Permanente Center for Health Research in Portland, Ore.

Most of the services at our safety net clinics are free, but some of the diagnostic tests require a small co-pay that is usually covered by Medicaid, said Amit Shah, MD, study co-author and Medical Director of the Multnomah County Health Department in Portland. Patients who lose their Medicaid coverage often delay getting the tests because they cant afford the co-pay.

The study included 3,384 diabetes patients receiving medical care from 2005-2007 at 50 federally qualified health centers in Oregon. These health centers provide free or reduced-cost care to low-income patients regardless of their insurance status. More than half the patients in the study (52 percent) had continuous coverage, most often provided by Medicaid, a publicly funded insurance program for low-income people. Twenty-seven percent had no insurance, and 21 percent had interrupted coverage, during the three-year study period. Patients with private insurance were excluded from the study.

Researchers examined patients electronic health records to determine whether they received four services recommended at least annually for diabetes patients: a lipid test for high cholesterol, a flu vaccine, a test that measures blood sugar levels, and a urine test that can detect kidney damage.

Forty-eight percent of patients with continuous insurance coverage received at least three lipid-screening tests at one of the study clinics over the three-year study period; 25 percent received three or more flu shots; 72 percent received three or more screenings for blood glucose; and 19 percent received three or more screenings for kidney damage. Patients with no coverage, and patients with interruptions in coverage, received significantly fewer of these services than patients with continuous health insurance coverage.

Notably, the study showed no increase in services received as insurance coverage increased; rather, all patients with discontinuous health insurance were equally vulnerable to missing services, compared to the continuously insured. These findings suggest that public insurance coverage must be continuous to ensure that patients receive consistent and timely care.


Contact: Emily Schwartz
Kaiser Permanente

Related medicine news :

1. Study finds Kaiser Permanente Early Start program could save US billions in health costs
2. Kaiser Permanente demonstrates success of large-scale total joint replacement registry
3. Psychotherapist and Media Personality Stacy Kaiser Joins ToughLOVE
4. Kaiser Permanente Southern California to Offer FitOrbit Online Personal Training to Targeted Patients
5. Kaiser Permanente Ranks No. 4 on DiversityIncs Top 50 Companies for Diversity(R)
6. Kaiser Permanente Completes Electronic Health Record Implementation
7. Kaiser Analysis Finds Record Medicaid Enrollment Growth in 2009
8. Kaiser Foundation Health Plan and Hospitals Report Fourth Quarter and Fiscal Year 2009 Financial Results
9. Kaiser Permanente Approves $170 Million in Community Benefit Grants in 2009
10. Safety-First Playgrounds Linked to Bored, Inactive Kids: Study
11. U-M study shows updated rotavirus vaccine not linked to increase in bowel obstruction
Post Your Comments:
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson has ... he has implemented orthobiologic procedures as a method for treating his patients. The ... first doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons use ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Those who have ... these feelings, many turn to unhealthy avenues, such as drug or alcohol abuse, as ... Michigan, has released tools for healthy coping following a traumatic event. , Trauma sufferers ...
(Date:6/24/2016)... ... ... Global law firm Greenberg Traurig, P.A. announced that 20 Florida attorneys are ... for this recognition are considered among the top 2 percent of lawyers practicing within ... of this year’s Legal Elite Hall of Fame: Miami Shareholders Mark D. Bloom, ...
(Date:6/24/2016)... TX (PRWEB) , ... June 24, 2016 , ... People ... part in Genome magazine’s Code Talker Award, an essay contest in which patients and ... an award to be presented at the 2016 National Society of Genetic Counselors (NSGC) ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... actively feeding the Frederick area economy by obtaining investment capital for emerging technology ... past 2½ years that have already resulted in more than a million dollars ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... Research and Markets has announced the addition of ... their offering. The current ... environment for MedImmune to enter. The US ageing population creates ... drive considerable growth for effective anti-influenza medications. The introduction of ... but development is still in its infancy. ...
(Date:6/23/2016)... Ill. and BOGOTA, Colombia , June 23, 2016  Astellas today announced the establishment ... Astellas Farma Brasil as the company,s second affiliate in Latin America . ... ... General Manager of Astellas Farma Colombia ... ...
(Date:6/23/2016)... 2016 Research and Markets has ... Global Analysis (United States, China, Japan, Brazil, United Kingdom, ... their offering. Surgical ... business planners, provides surgical procedure volume data in a ... an in-depth analysis of growth drivers and inhibitors, including ...
Breaking Medicine Technology: