ArticleHealth services research2025
Insurance gaps at age-19 and age-26 health insurance eligibility thresholds by childhood-onset condition severity, Colorado 2014-2018.
Article in Health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Insurance gaps at age-19 and age-26 health insurance eligibility thresholds by childhood-onset condition severity, Colorado 2014-2018.Health services research · 2025Article
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo characterize health insurance gap patterns related to age-19 Medicaid and age-26 commercial age-eligibility cutoffs. STUDY SETTING AND
designThis descriptive analysis spans 2014-2018, after Affordable Care Act implementation, but before COVID-19 emergency provisions. We defined insurance gaps as ≥3 consecutive months without observed enrollment, preceded and followed by ≥1 month of enrollment and stratified results by insurance source and clinical severity (e.g., with chronic, complex, or disabling conditions or not). DATA SOURCES AND ANALYTIC SAMPLE: The Colorado all-payer claims database provided data for enrollees aged 10-29, 52% (649,346) of whom were initially Medicaid insured, whereas 47% (576,596) were commercially insured. PRINCIPAL
findingsThe percent of enrollees with insurance gaps peaks within six months of turning age-19 and age-26-at 8.9% Medicaid and 8.7% commercial, respectively. The percentage point difference between ages 27-28 and 11-18 was 3.3 percentage points higher for prior Medicaid recipients (p < 0.001) and 2.2 percentage points greater for prior commercial enrollees (p < 0.001). Relative to the other clinical severity groups, young adults with disabling health conditions who were initially Medicaid insured had the lowest peak gap rate, 5.7%, compared with 10.5% among the previously commercially insured; this latter finding was sensitive to gap specification.
conclusionsYoung adults would likely benefit from greater attention to age-19 and age-26 health insurance "unwinding."
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