How does insurance status affect migraine care?

Updated: Oct 21, 2019
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

A study by Wilper et al found that insurance status affects migraine care in the United States. After controlling for age, gender, race, and geographic location, the investigators found evidence that patients with migraines with no insurance or with Medicaid are less likely than privately insured patients to receive either abortive or prophylactic migraine therapy.

This difference, according to the report, is at least partially due to the fact that persons who are uninsured or on Medicaid receive more medical care in emergency departments and less treatment in physicians’ offices than do persons with private insurance, resulting in a greater frequency of substandard migraine care. [78]


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