Using All-Payer Claims Databases to Study Insurance and Health Care Utilization Dynamics

Published in: Journal of General Internal Medicine [Epub July 2017]. doi: 10.1007/s11606-017-4128-5

Posted on RAND.org on August 23, 2017

by Michael Dworsky

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Churning on and off of insurance and across types of private and public insurance are common experiences for American families. Instability in the source of insurance frequently leads to short spells of uninsurance, and prior research shows that insurance instability has adverse consequences for access to primary care. Much of this literature has focused on Medicaid, the Children's Health Insurance Program (CHIP), and other public programs, however, and less is known about how seamless insurance transitions from one insurance carrier to another (those with little or no transitory uninsurance) affect utilization of or access to care.

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