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Clinical outcomes in cystic fibrosis at 6 years of age with tricare insurance coverage

Published:February 12, 2022DOI:https://doi.org/10.1016/j.jcf.2022.02.004

      Highlights

      • Health insurance coverage is associated with outcomes in cystic fibrosis (CF).
      • The role of Tricare, a program for U.S. military members/dependents, is unknown.
      • Within the CFF registry tricare subjects had greater geographic mobility by 6yo.
      • Outcomes for those with tricare appeared more similar to private insurance.
      • Future research should consider treating tricare similar to private insurance.

      Abstract

      Health insurance coverage is associated with outcomes in cystic fibrosis (CF). A fraction of individuals in the United States are covered through Tricare, a federally funded program for military members and their dependents. The role of Tricare on CF health outcomes is unknown. Using a retrospective CF Foundation Patient Registry cohort born 2000–2011, insurance status was defined as any Tricare (n = 328) with reference groups of always private (n = 3,455) and exclusively public (n = 2,669) during the first 6 years of life. Subjects with Tricare coverage attended more CF care centers and lived in more zip codes by age 6 than their counterparts. BMI did not differ between groups. Subjects with Tricare had a higher FEV1 at age 6 compared to those with always public insurance. Overall, outcomes for those with Tricare insurance appeared more similar to those with always private insurance. Future research should consider treating Tricare coverage similar to private insurance.
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