2023-09-28 14:46:10 +00:00
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abstract: 'Most women seeking abortion pay out-of-pocket for care, partly due to
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legal restrictions on insurance coverage. These costs can constitute a
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hardship for many women. Advocates have sought to ensure insurance
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coverage for abortion, but we do not know whether the intermediaries
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between policy and patient - abortion-providing facilities - are able
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and willing to accept insurance.
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We interviewed 22 abortion facility administrators, representing 64
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clinical sites in 21 states that varied in their legal allowance of
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public and private insurance coverage for abortion, about their
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facility''s insurance practices, and experiences.
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Respondents described challenges in accepting public and/or private
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insurance that included, but were not limited to, legal regulations.
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When public insurance broadly covered abortion, its low reimbursement
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failed to cover the costs of care. Because of the predominance of low
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income patients in abortion care, this caused financial challenges for
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facilities, leading one in a state that allows broad coverage to
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nonetheless decline public insurance. Accepting private insurance
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carried its own risks, including nonpayment because costs fell within
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patients'' deductibles. Respondents described work-arounds to protect
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their facility from nonpayment and enable patients to use their private
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insurance.
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The structure of insurance and the population of abortion patients mean
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that changes at the political level may not translate into changes in
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individual women''s experience of paying for abortion.
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This research illustrates how legal regulations, insurer practices, and
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the socioeconomics of the patient population matter for
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abortion-providing facilities'' decision-making about accepting
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insurance.'
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affiliation: 'Kimport, K (Corresponding Author), Univ Calif San Francisco, ANSIRH,
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San Francisco, CA 94143 USA.
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Kimport, Katrina; Rowland, Brenly, Univ Calif San Francisco, ANSIRH, San Francisco,
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CA 94143 USA.'
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author: Kimport, Katrina and Rowland, Brenly
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author_list:
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- family: Kimport
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given: Katrina
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- family: Rowland
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given: Brenly
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booktitle: 'HEALTH AND HEALTH CARE CONCERNS AMONG WOMEN AND RACIAL AND ETHNIC
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MINORITIES'
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da: '2023-09-28'
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doi: 10.1108/S0275-495920170000035003
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editor: Kronenfeld, JJ
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files: []
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isbn: 978-1-78743-149-2; 978-1-78743-150-8
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issn: 0275-4959
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keywords: Abortion; insurance; Medicaid; poverty
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keywords-plus: 'PROVIDERS EXPERIENCES; UNITED-STATES; COVERAGE; DISPARITIES; MULTISTATE;
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PREGNANCY; COSTS; RATES'
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language: English
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number-of-cited-references: '30'
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pages: 39-57
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papis_id: 4edaa3f499ef464b22d20d00eedb926c
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ref: Kimport2017takinginsurance
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series: Research in the Sociology of Health Care
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times-cited: '6'
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title: 'TAKING INSURANCE IN ABORTION CARE: POLICY, PRACTICES, AND THE ROLE OF POVERTY'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000463494100003
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usage-count-last-180-days: '0'
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usage-count-since-2013: '4'
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volume: '35'
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web-of-science-categories: 'Ethnic Studies; Health Policy \& Services; Public, Environmental
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\&
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Occupational Health; Sociology; Women''s Studies'
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year: '2017'
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