Many Americans with long COVID have trouble accessing care, reports study jamanetworkopen
Nearly two-thirds of adults with PCC reported that a clinician had ever diagnosed them with at least 1 of the surveyed physical health conditions. Adults with PCC were less likely to be insured in all months of the past year than adults with COVID-19 diagnoses but not PCC and had similar past-year coverage status as adults never diagnosed with COVID-19 . Residence in a rural area did not differ significantly across groups.
Self-reported PCC did not have an association with having a usual place of care after adjustment for differences in demographic and geographic characteristics, insurance status, and health conditions .
Among adults insured in the past year, those with PCC reported more difficulties using their health plans . They were more likely than adults with a COVID-19 diagnosis but not PCC and adults never diagnosed with COVID-19 to report unmet care needs because of difficulties getting health plan authorization , finding a doctor accepting their coverage , and getting information from their plan about health care networks, covered services, or cost of care .
Although most adults with PCC had a usual source of care, some may have had trouble finding clinicians who were knowledgeable about and responsive to their conditions.In addition, some patients may not have been aware of or had access to a multidisciplinary PCC clinic.
Insurance-related barriers may also reflect limited evidence to inform standards of care. Insurers may deny reimbursement for tests and procedures that they do not consider medically necessary.
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