title: Declining employer-sponsored coverage: the role of public programs and implications for access to care.
abstract: Using data from the 1996/1997 Community Tracking Study household survey, this study examines the effects of public programs on the decision to take up employer coverage when offered versus enrolling in public coverage or being uninsured. The results show that among those with access to employer-sponsored coverage, low-income persons living in states with more expansive eligibility for Medicaid were more likely to decline employer coverage in favor of public coverage, while low-income persons in areas with public hospitals were more likely to decline coverage in favor of being uninsured. While persons who decline employer coverage in favor of public coverage maintain the same level of access to medical care, those who decline coverage in favor of being uninsured give up a considerable degree of access. Implications concerning policies to improve access to care for the uninsured are discussed.
authors.affiliation: Center for Studying Health System Change, USA.
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Cunningham
mesh_terms: D000328:Adult; D003256:Community Participation / Q000706:statistics & numerical data*; D003657:Decision Making; D005006:Ethnicity; D005190:Family; D005191:Family Characteristics; D005260:Female; D006264:Health Benefit Plans, Employee / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000191:economics*; D006302:Health Services Research; D006801:Humans; D016013:Likelihood Functions; D008297:Male; D008484:Medicaid / Q000706:statistics & numerical data*; D017057:Medically Uninsured / Q000706:statistics & numerical data*; D008875:Middle Aged; D011203:Poverty; D013221:State Health Plans; D014481:United States