Study finds that a quarter of low-income older Americans don't have health insurance

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Study finds that a quarter of low-income older Americans don't have health insurance
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A new Oregon Health & Science University-led study reveals gaps in health insurance coverage for older Americans, who typically have more health issues than the rest of the population.

in the United States without insurance. This can lead to costly hospital stays and avoidable illnesses that require expensive health care services."

For this study, Huguet and colleagues examined electronic health record data for more than 45,000 patients who became eligible for Medicare between 2014 and 2019. The records were for patient encounters at community health centers, which provide care regardless of a patient's ability to pay and largely serve people of limited financial means.insurance coverage

at 65. Medicare requires its participants to be either U.S. citizens or permanent legal residents, placing government insurance out of reach for older adults who are undocumented immigrants. Further, patients with low incomes may not be able to afford Medicare premiums. The researchers also discovered that patients tend to be diagnosed with new chronic health conditions like diabetes orafter they become eligible for Medicare. About 86% of the study's patients had two or more chronic health conditions after they turned 65, compared with 77% beforehand. Patients who had been uninsured and then obtained insurance through Medicare were diagnosed with more new"It's likely these patients unknowingly had chronic conditions beforehand," Huguet said.

Huguet and her colleagues hope their findings will encourage policymakers to better support aging Americans by improving their access to health care overall, as well as specifically to improve preventive care access. They also hope it will inspire community health centers to integrate more geriatric-focused care in their operations.

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