Health care inequities persist despite employer-sponsored insurance, report finds – MedCity News

Significant health disparities exist among those enrolled in employer-sponsored health insurance for major health issues, women’s health, mental health, substance abuse and access to health care, new Morgan Health reports. report found.

Morgan Health is a business unit of JPMorgan Chase. It ordered the University of Chicago’s NORC, an independent public research organization, to issue the report. It analyzed other nationally representative surveys: the 2019 National Health Interview Survey (12,372 respondents), the 2017-March 2020 National Health and Nutrition Survey (3,103 respondents) and the 2019 National Survey of Drug Use and Health (14,580 respondents). It reviewed the birth certificates recorded in the 2020 natality vital statistics register.

Despite employer-sponsored coverage, many enrollees still have unmet needs that widen disparities in health outcomes, the report found. Overall, 7.7% of those registered were food insecure, in which the family lacks enough food due to money or other reasons. After controlling for age and sex among different ethnic groups, the differences are even more pronounced. Black and Hispanic enrollees were 9.8 and 6 percent, respectively, more likely to be food insecure than white enrollees.

“These findings are a wake-up call for business leaders to the stark disparities in health care across the country,” Dan Mendelson, CEO of Morgan Health, said. release the news. “Businesses have a responsibility to understand and recognize this gap, and more importantly, to take action to address it. This will require proactive action by health plans and providers to close gaps and improve health outcomes.”

Chronic diseases

Enrollees with chronic illnesses vary by race, the report found. Black registrants had the highest rate of hypertension at 60.4%, compared to 40.7% of Asians, 44.2% of Puerto Ricans and 46% of White registrants.

When adjusted for age and sex, Black enrollees were 16.7 percent more likely to have high blood pressure than White enrollees, and 15.7 percent more likely to have uncontrolled high blood pressure, according to the report.

Enrollees with diabetes also differed by race, with 13.4% of blacks, 13.3% of Hispanics, 14.1% of Asian enrollees and 8.8% of whites. Asian, Hispanic and Black enrollees were not diagnosed with diabetes at a 3 percent higher rate than white enrollees.

Of all registrants, 42.8% were classified as obese, but as with other chronic diseases, the findings vary by race. Black and Hispanic enrollees had the highest rates of obesity, at 56.2% and 46.4%, compared to 43% of White enrollees and 16.2% of Asian enrollees.

Giving a cesarean section

Cesarean delivery can reduce maternal morbidity and mortality in high-risk births. But they can increase the risk of infection and blood clots and create later complications — including death — in low-risk pregnancies.

For low-risk coverage, 20.1% of black enrollees had a C-section, compared to 17.7% of Asian enrollees, 17% of Hispanic enrollees and 13.6% of White enrollees.

Adjusted for age and sex, Black, Asian and Hispanic enrollees were 6.5, 3.9 and 3.4 percent less likely to have a C-section for risk reduction than White enrollees, respectively.

Good behavior and drug use

The report found that White enrollees are more likely to suffer from poor health and substance abuse than Black, Hispanic and Asian enrollees. About 10% of White enrollees have a serious mental health problem, compared to 8.4% of Black enrollees, 9.1% of Hispanic enrollees and 6.1% of Asian enrollees. Registered saints also experience anxiety and depression.

Regarding visits to mental health providers, white enrollees were 4.8 percent more likely than black enrollees to do so, and 5 percent more likely than Hispanic and Asian enrollees, after adjusting for age and sex.

There was a significant difference in mental health in the case of gays and lesbians, who suffer from depression at 12.1 percent higher, anxiety 16.6 percent higher and depression at 18.4 percent than straight registrants, after adjusting for age. sex.

In terms of drug use, Puerto Ricans were found to drink more alcohol, while Whites used more drugs. Gay, lesbian and bisexual enrollees also had higher rates of alcohol and drug use than straight enrollees.

Getting attention

Even with employer-sponsored insurance, racial/ethnic minority and low-income enrollees have difficulty accessing coverage, the report found.

Families making less than $50,000 a year were six times more likely to skip health care because of the cost than families making more than $150,000 a year. Households making less than $50,000 a year were also seven times more likely to have trouble paying bills than those making $150,000 a year or more.

Additionally, although nearly all enrollees have primary care sources, some use emergency departments frequently. After adjusting for age and sex, black enrollees were 4.9 percent more likely than white enrollees to visit the ED. Asian enrollees were 4.3 percent less likely to visit the ED than White enrollees.

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