Health Care Utilization for Privately and Publicly Insured Children During Autism Insurance Reform

We examined the effects of insurance type on health service utilization among children with autism spectrum disorder (ASD) following autism insurance reform by analyzing the most recent data from the 2019 National Survey of Children’s Health. Families with private insurance were less likely to repor...

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Bibliographic Details
Published in:Journal of autism and developmental disorders 2022-11, Vol.52 (11), p.5042-5049
Main Authors: Zhang, Wanqing, Thompson, Kelsey L., Watson, Linda R., LaForett, Doré R.
Format: Article
Language:English
Subjects:
Access to Health Care
Autism
Autism Spectrum Disorders
Autistic children
Behavior Modification
Behavioral Science and Psychology
Care and treatment
Change
Child and School Psychology
Child Health
Children
Childrens health insurance programs
Comparative Analysis
Diagnosis
Drug Therapy
Drugs
Federal Legislation
Frustration
Health care
Health care access
Health care policy
Health Insurance
Health Services
Health services utilization
Insurance coverage
Laws, regulations and rules
Legislation
Medical care
National Surveys
Neurosciences
Original Paper
Parent Attitudes
Pediatrics
Pervasive developmental disorders
Polls & surveys
Psychological Patterns
Psychology
Public Health
Public Policy
Reforms
Severity (of Disability)
Therapy
Utilization
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Description
Summary:We examined the effects of insurance type on health service utilization among children with autism spectrum disorder (ASD) following autism insurance reform by analyzing the most recent data from the 2019 National Survey of Children’s Health. Families with private insurance were less likely to report that their health insurance covered needed services compared to families with public insurance. Privately versus publicly insured children were not significantly different in receiving behavioral or medication treatment, or in parental frustration in efforts to obtain services. However, parents’ frustration escalated with increased ASD severity. Findings from this study suggest the need for continuing to improve implementation of health insurance reform legislation and providing adequate ASD-related services for children with private insurance.
ISSN:0162-3257
1573-3432
DOI:10.1007/s10803-021-05370-5