Catastrophic health expenditures: a disproportionate risk in uninsured ethnic minorities with diabetes

Sebastian Linde () and Leonard E. Egede
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Sebastian Linde: Texas A&M School of Public Health
Leonard E. Egede: Medical College of Wisconsin

Health Economics Review, 2024, vol. 14, issue 1, 1-11

Abstract: Abstract Background Chargemaster prices are the list prices that providers and health systems assign to each of their medical services in the US. These charges are often several factors of magnitude higher than those extended to individuals with either private or public insurance, however, these list prices are billed in full to uninsured patients, putting them at increased risk of catastrophic health expenditures (CHE). The objective of this study was to examine the risk of CHE across insurance status, diabetes diagnosis and to examine disparity gaps across race/ethnicity. Methods We perform a retrospective observational study on a nationally representative cohort of adult patients from the Medical Expenditure Panel Survey for the years 2002–2017. Using logistic regression models we estimate the risk of CHE across insurance status, diabetes diagnosis and explore disparity gaps across race/ethnicity. Results Our fully adjusted results show that the relative odds of having CHE if uninsured is 5.9 (p

Keywords: Catastrophic Health Expenditures; Chargemaster Prices; Diabetes; Uninsured; Racial Disparities; Structural Inequity; Structural Racism (search for similar items in EconPapers)
Date: 2024
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DOI: 10.1186/s13561-024-00486-7

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