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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Article info
Publication history
Published online: February 12, 2022
Accepted:
February 6,
2022
Received in revised form:
February 1,
2022
Received:
December 3,
2021
Identification
Copyright
© 2022 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.