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Chronic conditions are the leading causes of death, disability, and illness in the United States, accounting click one-third of the potential life years lost before age 65 CDC, a. Almost million Americans have chronic conditions. For persons with a chronic illness, health insurance may be most important in that it enhances the opportunities to acquire a regular source of care.

If someone has coverage through a private or public managed care plan, a relationship with a primary care provider may be built into the insurance. Indemnity or fee-for-service FFS insurance coverage also improves the chances of having a regular source of care because having the resources to pay for services is often a prerequi-site to being seen in a medical practice. Uninsured adults are much less likely to have a regular source of care and are more likely to identify an emergency department as their regular source of care than are adults with any form of coverage Weinick et al.

Loss of coverage also interrupts patterns of use of health care and results in delays in seeking needed care Burstin et al. For uninsured adults under age 65, 19 percent with heart disease and 14 percent with hypertension lack a usual source of care, compared to 8 and 4 percent, respectively, of their insured counterparts Fish-Parcham, For wi market place patients without a regular source of what flea and tick medicine is killing dogs or those who identify an emergency department as their usual source, obtaining care that is consistent with recognized standards for effective disease management is a daunting challenge.

Providers with a commitment to serving uninsured clients, such as local public health and hospital clinics and federally funded community health centers, have sometimes instituted special interventions and programs for the chronically ill to promote continuity of care and disease management.

These innovations are critically important to the identified, chronically ill patients who routinely link care at such clinics and centers. The efforts of these providers, however, are limited in scale by funding and service capacity relative to the high need for care within their service areas Baker et al. As demonstrated in the click here review of studies examining the care and outcomes for patients with specific chronic conditions, those who do not have health insurance coverage of any kind fare measurably worse than their what flea and tick medicine is killing dogs counterparts.

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