Beyond Being Insured: Insurance Coverage Denial as a Major Barrier to Accessing Care During Pregnancy and Postpartum

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dc.contributor.authorLee, Jusung
dc.contributor.authorHoward, Krista J.
dc.contributor.authorLeong, Caleb
dc.contributor.authorGrigsby, Timothy J.
dc.contributor.authorHoward, Jeffrey T.
dc.creator.orcidhttps://orcid.org/0000-0002-9099-3899
dc.date.accessioned2023-10-19T14:46:02Z
dc.date.available2023-10-19T14:46:02Z
dc.date.issued2023-06-02
dc.description.abstractThis study investigates the association between insurance coverage denial and delays in care during pregnancy and postpartum. An online survey was administered in March and April 2022 to women who were either pregnant or within 1 year postpartum (n = 1,113). The outcome was delayed care, measured at four time points: during pregnancy and 1 week, 2 to 6 weeks, and after 7 weeks postpartum. The key covariate was insurance coverage denial by providers during pregnancy. Delayed care due to having an unaccepted insurance and being “out-of-network” was more pronounced at 1 week postpartum with 3.37 times and 3.47 times greater odds and in 2 to 6 weeks postpartum with 5.74 times and 2.97 times greater odds, respectively. The association between insurance denial and delays in care encapsulated transportation, rural residency, time issues, and financial constraints. The findings suggest that coverage denial is associated with significant delays in care, providing practical implications for effective perinatal care.
dc.description.departmentPublic Health
dc.description.sponsorshipThis study was funded in part by the Lutcher Brown Fellowship through the University of Texas at San Antonio (Dr. J. Howard).
dc.identifier.citationLee, J., Howard, K. J., Leong, C., Grigsby, T. J., & Howard, J. T. (2023). Beyond Being Insured: Insurance Coverage Denial as a Major Barrier to Accessing Care During Pregnancy and Postpartum. Clinical Nursing Research, 32(8), 1092-1103. doi:10.1177/10547738231177332
dc.identifier.issn1552-3799
dc.identifier.otherhttps://doi.org/10.1177/10547738231177332
dc.identifier.urihttps://hdl.handle.net/20.500.12588/2106
dc.language.isoen_US
dc.publisherSAGE Publications
dc.relation.ispartofseriesClinical Nursing Research; Volume 32, Issue 8
dc.rightsAttribution 3.0 United Statesen
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/
dc.subjectdelay in care
dc.subjectinsurance coverage denial
dc.subjectfinancial constraints
dc.subjecttransportation
dc.subjectrural
dc.titleBeyond Being Insured: Insurance Coverage Denial as a Major Barrier to Accessing Care During Pregnancy and Postpartum
dc.typeArticle

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