wow-inequalities/02-data/intermediate/wos_sample/8e61fc3e00ee908fd166b11bfd2c29b9-kimport-katrina-and/info.yaml

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