Insurance Coverage, Out-of-Pocket Costs, and Vision Impairment Trends
Overview
This study examines trends in insurance coverage and out-of-pocket medical spending among adults under 65 years with and without vision impairment (VI) from 2014 to 2024. Findings indicate a decline in uninsured rates and changes in the types of coverage among adults with VI.
Background
Uncorrectable vision impairment affects over 7 million people in the US and is linked to various adverse health outcomes, including difficulties in daily living and increased mortality. Understanding insurance coverage trends is crucial for addressing the healthcare needs of this population, especially as the Affordable Care Act has influenced coverage dynamics.
Data Highlights
Group
Uninsured Rate 2014
Uninsured Rate 2024
Mean OOP Spending 2014
Mean OOP Spending 2024
Adults with VI
15.1%
10.1%
$2907.58
$2495.27
Adults without VI
Similar
Similar
Stable
Stable
Key Findings
Among adults with VI, the uninsured rate decreased from 15.1% to 10.1% from 2014 to 2024.
Private and Medicaid coverage increased among adults with VI, while Medicare coverage declined significantly post-2021.
The prevalence of any out-of-pocket spending among adults with VI declined slightly.
The percentage of adults with VI whose out-of-pocket spending was 10% or more of family income decreased from 17.9% to 11.1%.
Mean out-of-pocket spending among adults with VI decreased from $2907.58 to $2495.27.
Clinical Implications
The changes in insurance coverage types among adults with vision impairment may influence their access to necessary healthcare services. Clinicians should be aware of these trends to better address the needs of patients with vision impairment.
Conclusion
The study highlights significant trends in insurance coverage and out-of-pocket costs for adults with vision impairment.
