Table 2.
Self-reported Insurance Coverage and Access to Care Before and After HMP Enrollment, by Chronic Health Condition Status
| Respondents without a chronic condition | Respondents with any chronic condition* | p value† | |||
|---|---|---|---|---|---|
| Column % | 95% CI | Column % | 95% CI | ||
| Insurance duration prior to HMP | .24 | ||||
| Entire year | 30.0 | [26.8, 33.5] | 31.3 | [29.2, 33.6] | |
| Part of year | 11.0 | [8.8, 13.7] | 8.8 | [7.6, 10.2] | |
| None of year | 59.0 | [55.2, 62.6] | 59.6 | [57.5, 62.1] | |
| Years since last PCP visit prior to HMP | .02 | ||||
| Less than 1 year | 36.7 | [33.1, 40.4] | 42.6 | [40.4, 45.0] | |
| 1–5 years | 42.1 | [38.4, 45.8] | 36.6 | [34.5, 38.9] | |
| More than 5 years | 21.3 | [18.5, 24.3] | 20.7 | [18.8, 22.8] | |
| Saw PCP in past 12 months | 75.5 | [71.8, 78.8] | 89.8 | [88.0, 91.3] | < .001 |
| Problems paying medical bills in 12 months prior to HMP enrollment | 29.7 | [26.5, 33.2] | 51.9 | [49.6, 54.2] | < .001 |
| Ability to pay medical bills improved after HMP‡ | 85.4 | [79.8, 89.6] | 87.0 | [84.6, 89.1] | .048 |
| Access to prescriptions since HMP enrollment | < .001 | ||||
| Improved | 48.0 | [44.3, 51.7] | 64.6 | [62.3, 66.8] | |
| Same | 28.8 | [25.4, 32.5] | 24.6 | [22.6, 26.6] | |
| Worse | 1.5 | [0.9, 2.6] | 3.9 | [3.0, 4.9] | |
| Do not know | 21.7 | [18.9, 24.8] | 7.0 | [5.9, 8.3] | |
| Access to specialty care since HMP enrollment | < .001 | ||||
| Improved | 33.0 | [29.8, 36.5] | 49.7 | [47.4, 52.0] | |
| Same | 24.9 | [21.8, 28.3] | 21.5 | [19.7, 23.4] | |
| Worse | 3.1 | [2.1, 4.5] | 4.8 | [3.9, 5.8] | |
| Do not know | 39.0 | [35.3, 42.7] | 24.0 | [22.0, 26.1] | |
| Access to mental health care since HMP enrollment | < .001 | ||||
| Improved | 17.4 | 17.4 | 32.2 | [30.0, 34.4] | |
| Same | 25.8 | 25.8 | 22.1 | [20.2, 24.1] | |
| Worse | 0.4 | 0.4 | 3.4 | [2.7, 4.4] | |
| Do not know | 56.3 | 56.3 | 42.3 | [40.1, 44.6] | |
| Had regular source of medical care in 12 months prior to HMP | 66.6 | [63.0, 70.0] | 77.3 | [75.3, 79.2] | < .001 |
| Had regular source of medical care in 12 months since HMP enrollment | 85.8 | [82.6, 88.4] | 95.2 | [93.8, 96.3] | < .001 |
| Regular source of care in 12 months prior to HMP enrollment is doctor’s office or clinic§ | 66.3 | – | 64.7 | – | .30 |
| Regular source of care in 12 months after HMP enrollment is doctor’s office or clinic§ | 88.7 | – | 93.1 | – | .005 |
Weighted proportions of pre-HMP insurance status and access to care by self-reported chronic conditions
*Chronic conditions are self-reported and include hypertension, mood disorder, asthma, heart disease, chronic obstructive pulmonary disease (COPD), diabetes, and chronic health conditions among those listed by respondents as “other” diagnoses
†Pearson’s chi-squared test
‡Only asked of those reporting problems paying medical bills in 12 months prior to HMP enrollment
§Only asked of those reporting a regular source of medical care during that time period