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Journal of Autism and Developmental Disorders

Gepubliceerd in:

23-11-2021 | Original Paper

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

Auteurs: Wanqing Zhang, Kelsey L. Thompson, Linda R. Watson, Doré R. LaForett

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 11/2022

Abstract

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.

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Autism Speaks. (2020). State Regulated Health Benefit Plan. Retrieved from https://www.autismspeaks.org/state-regulated-health-benefit-plans

Benevides, T. W., Carretta, H. J., & Lane, S. J. (2016). Unmet need for therapy among children with autism spectrum disorder: Results from the 2005–2006 and 2009–2010 National Survey of Children with special health care needs. Maternal and Child Health Journal, 20(4), 878–888. https://doi.org/10.1007/s10995-015-1876-xCrossRefPubMed

Bottema-Beutel, K., Cuda, J., & Kim, S. Y. (2020). Understanding legislation, health insurance, and disparities in service provision in autism early intervention. In G. Vivanti, K. Bottema-Beutel, & L. Turner-Brown (Eds.), Clinical guide to early interventions for children with autism. Best practices in child and adolescent behavioral health care. Springer.

Brondino, N., Fusar-Poli, L., Rocchetti, M., Provenzani, U., Barale, F., & Politi, P. (2015). Complementary and alternative therapies for autism spectrum disorder. Evidence-Based Complementary and Alternative Medicine, eCAM, 2015, 258589. https://doi.org/10.1155/2015/258589CrossRefPubMed

Candon, M. K., Barry, C. L., Epstein, A. J., Marcus, S. C., Kennedy-Hendricks, A., Xie, M., et al. (2018). The differential effects of insurance mandates on health care spending for children’s autism spectrum disorder. Medical Care, 56(3), 228–232. https://doi.org/10.1097/MLR.0000000000000863CrossRefPubMedPubMedCentral

Centers for Disease Control. (2020). Prevalence of autism spectrum disorder among children aged 8 years – Autism and developmental disabilities monitoring network, 11 sites, United States, 2016. MMWR Surveillance Summary, 69(4), 1–12. https://doi.org/10.15585/mmwr.ss6904a1CrossRef

Child and Adolescent Health Measurement Initiative (CAHMI). (2020). Fast Facts: 2019 National Survey of Children’s Health. Data Resource Center for Child and Adolescent Health, supported by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB). Retrieved from https://www.childhealthdata.org

Choi, K. R., Knight, E. A., Stein, B. D., & Coleman, K. J. (2020). Autism insurance mandates in the U.S.: Comparison of mandated commercial insurance benefits acrossstates. Maternal and Child Health Journal, 24(7), 894–900. https://doi.org/10.1007/s10995-020-02950-2CrossRefPubMed

Croen, L. A., Najjar, D. V., Ray, G., Lotspeich, L., & Bernal, P. (2006). A comparison of health care utilization and costs of children with and without autism spectrum disorders in a large group-model health plan. Pediatrics, 118, e1203–e1211.CrossRef

Dawson, G., & Burner, K. (2011). Behavioral interventions in children and adolescents with autism spectrum disorder: A review of recent findings. Current Opinion in Pediatrics, 23(6), 616–620. https://doi.org/10.1542/peds.2006-0127CrossRefPubMed

Gurney, J. G., McPheeters, M. L., & Davis, M. M. (2006). Parental report of health conditions and health care use among children with and without autism. Archives of Pediatrics and Adolescent Medicine, 160(8), 825–830. https://doi.org/10.1001/archpedi.160.8.825CrossRefPubMed

Harstad, E., Huntington, N., Bacic, J., & Barbaresi, W. (2013). Disparity of care for children with parent-reported autism spectrum disorders. Academic Pediatrics, 13(4), 334–339. https://doi.org/10.1016/j.acap.2013.03.010CrossRefPubMed

Health Resources and Services Administration. (2020). National Survey of Children's Health. Retrieved from https://www.census.gov/programs-surveys/nsch/technical-documentation.html

Iannuzzi, D. A., Cheng, E. R., Broder-Fingert, S., & Bauman, M. L. (2015). Brief report: Emergency department utilization by individuals with autism. Journal of Autism and Developmental Disorders, 45(4), 1096–1102. https://doi.org/10.1007/s10803-014-2251-2CrossRefPubMed

Individuals with Disabilities Education Act. (2004). 20 U.S.C. § 1400.

Jaffee, D. M. (2014). Minding the gap: Seeking autism coverage in class actions when state and federal laws fail. Connecticut Insurance Law Journal, 132, 599.

Karpur, A., Lello, A., Frazier, T., et al. (2019). Health disparities among children with autism spectrum disorders: Analysis of the National Survey of Children’s Health 2016. Journal of Autism and Developmental Disorders, 49(4), 1652–1664. https://doi.org/10.1007/s10803-018-3862-9CrossRefPubMed

Keehn, R. M., Ciccarelli, M., Szczepaniak, D., Tomlin, A., Lock, T., & Swigonski, N. (2020). A statewide tiered system for screening and diagnosis of autism spectrum disorder. Pediatrics, 146(2), e20193876. https://doi.org/10.1542/peds.2019-3876CrossRef

Kogan, M. D., Vladutiu, C. J., Schieve, L. A., Ghandour, R. M., Blumberg, S. J., Zablotsky, B., Perrin, J. M., Shattuck, P., Kuhlthau, K. A., Harwood, R. L., & Lu, M. C. (2018). The prevalence of parent-reported autism spectrum disorder among US children. Pediatrics, 142(6), e20174161. https://doi.org/10.1542/peds.2017-4161CrossRefPubMed

Kohane, I. S., McMurry, A., Weber, G., MacFadden, D., Rappaport, L., Kunkel, L., Bickel, J., Wattanasin, N., Spence, S., Murphy, S., & Churchill, S. (2012). The co-morbidity burden of children and young adults with autism spectrum disorders. PLoS ONE, 7(4), e33224. https://doi.org/10.1371/journal.pone.0033224CrossRefPubMedPubMedCentral

Liptak, G. S., Stuart, T., & Auinger, P. (2006). Health care utilization and expenditures for children with autism: Data from U.S. national samples. Journal of Autism and Developmental Disorders, 36(7), 871–879. https://doi.org/10.1007/s10803-006-0119-9CrossRefPubMed

Lokhandwala, T., Khanna, R., & West-Strum, D. (2012). Hospitalization burden among individuals with autism. Journal of Autism and Developmental Disorders, 42(1), 95–104. https://doi.org/10.1007/s10803-011-1217-xCrossRefPubMed

Mandell, D. S., Barry, C. L., Marcus, S. C., Xie, M., Shea, K., Mullan, K., et al. (2016). Effects of autism spectrum disorder insurance mandates on the treated prevalence of autism spectrum disorder. JAMA Pediatrics, 170(9), 887–893. https://doi.org/10.1001/jamapediatrics.2016.1049CrossRefPubMed

Rodrigues, J. M., Mestre, M., & Fredes, L. I. (2019). Qigong in the treatment of children with autism spectrum disorder: A systematic review. Journal of Integrative Medicine, 17(4), 250–260. https://doi.org/10.1016/j.joim.2019.04.003CrossRefPubMed

Rubenstein, E., Croen, L., Lee, L. C., Moody, E., Schieve, L. A., Soke, G. N., Thomas, K., Wiggins, L., & Daniels, J. (2019). Community-based service use in preschool children with autism spectrum disorder and associations with insurance status. Research in Autism Spectrum Disorders, 66, 101410. https://doi.org/10.1016/j.rasd.2019.101410CrossRefPubMedPubMedCentral

Saloner, B., & Barry, C. L. (2017). Changes in spending and service use after a state autism insurance mandate. Autism, 23, 167–174. https://doi.org/10.1177/1362361317728205CrossRefPubMed

Semansky, R. M., Xie, M., & Mandell, D. S. (2011). Medicaid’s increasing role in treating youths with autism spectrum disorders. Psychiatric Services, 62(6), 588. https://doi.org/10.1176/ps.62.6.pss6206_0588CrossRefPubMed

Suen, C. G., Campbell, K., Stoddard, G., & Carbone, P. S. (2021). Patient-centered outcomes in an interdisciplinary clinic for complex children with autism. Journal of Developmental & Behavioral Pediatrics, 42(3), 182–190. https://doi.org/10.1097/DBP.0000000000000877CrossRef

Vohra, R., Madhavan, S., Sambamoorthi, U., & St Peter, C. (2014). Access to services, quality of care, and family impact for children with autism, other developmental disabilities, and other mental health conditions. Autism, 18, 815–826. https://doi.org/10.1177/1362361313512902CrossRefPubMed

Wang, L., Mandell, D. S., Lawer, L., Cidav, Z., & Leslie, D. L. (2013). Health care service use and costs for Autism Spectrum Disorder: A comparison between Medicaid and private insurance. Journal of Autism and Developmental Disorders, 43(5), 1057–1064. https://doi.org/10.1007/s10803-012-1649-yCrossRefPubMedPubMedCentral

Xu, G., Strathearn, L., Liu, B., O’brien, M., Kopelman, T. G., Zhu, J., et al. (2019). Prevalence and treatment patterns of autism spectrum disorder in the United States, 2016. JAMA Pediatrics, 173(2), 153–159. https://doi.org/10.1001/jamapediatrics.2018.4208CrossRefPubMed

Young, A., Ruble, L. A., & McGrew, J. (2009). Public vs private insurance: Cost, use, accessibility, and outcomes of services for children with autism spectrum disorders. Research in Autism Spectrum Disorders, 3(4), 1023–1033. https://doi.org/10.1016/j.rasd.2009.06.006CrossRef

Zablotsky, B., Rast, J., Bramlett, M. D., & Shattuck, P. T. (2020). Health care transition planning among youth with ASD and other mental, behavioral, and developmental disorders. Maternal and Child Health Journal, 24(6), 796–804. https://doi.org/10.1007/s10995-019-02858-6CrossRefPubMedPubMedCentral

Zhang, W., & Baranek, G. (2016). The impact of insurance coverage types on access to and utilization of health services for U.S. Children with autism. Psychiatric Services, 67(8), 908–911. https://doi.org/10.1176/appi.ps.20150020CrossRefPubMed

Titel: Health Care Utilization for Privately and Publicly Insured Children During Autism Insurance Reform
Auteurs: Wanqing Zhang
Kelsey L. Thompson
Linda R. Watson
Doré R. LaForett
Publicatiedatum: 23-11-2021
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 11/2022
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-021-05370-5

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

Abstract

Andere artikelen Uitgave 11/2022

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Development and Validation of the Assessment of Bullying Experiences Questionnaire for Neurodivergent Youth

Distinct Biological Motion Perception in Autism Spectrum Disorder: A Meta-Analysis

Neuropsychiatric Functioning in CDLS: A Detailed Phenotype and Genotype Correlation

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Caring for Children with an Autism Spectrum Disorder: Factors Associating with Health- and Care-Related Quality of Life of the Caregivers

Peri-Pregnancy Cannabis Use and Autism Spectrum Disorder in the Offspring: Findings from the Study to Explore Early Development

Visuospatial Bias in Children with Autism Spectrum Disorder: Evidence from Line Bisection Tasks

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