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. 2022 Sep 1;60(9):673-679.
doi: 10.1097/MLR.0000000000001747. Epub 2022 Jul 22.

The Impact of the COVID-19 Pandemic on Health Care Utilization Among Insured Individuals With Common Chronic Conditions

Yeunkyung Kim  1   2 , Aliza Gordon  1 , Kathryn Rowerdink  1 , Laura Herrera Scott  1 , Winnie Chi  1
Affiliations

The Impact of the COVID-19 Pandemic on Health Care Utilization Among Insured Individuals With Common Chronic Conditions

Yeunkyung Kim et al. Med Care. .

Abstract

Objective: The COVID pandemic has had a significant impact on the US health care system. Our primary objective was to understand the impact of the COVID pandemic on non-COVID-related health care utilization among insured individuals with chronic conditions. Our secondary objective was to examine the differential impact by individual characteristics.

Main data source: Medical and pharmacy claims data for individuals enrolled in a large insurer across the United States.

Research design: A retrospective and repeated cross-sectional study. Overall and condition-specific health care utilization and cost metrics in (1) March 1 to June 15 and (2) June 16 to September 30, 2020 were compared with the same months during 2016-2019.

Subjects: Members of all ages with a diagnosis of diabetes, cardiovascular disease, or chronic kidney disease with commercial or Medicare Advantage insurance.

Results: Most non-COVID-related health care utilization decreased drastically on March 1 to June 15, 2020 [odds ratio (OR) range across condition-specific tests: 0.55-0.69; incidence rate ratio (IRR) range for hospitalization/emergency department (ED) visit/outpatient visit: 0.65-0.77] but returned to closer to pre-COVID levels by June 16 to September 30, 2020 [OR range across condition-specific tests: 0.93-1.08; IRR range for hospitalization/ED visit/outpatient visit: 0.77-0.97]. Our study found an enormous increase in telehealth use on March 1 to June 15, 2020 (90-170 times prepandemic levels). A differential impact was observed by age, sex, region of residence, and insurance type.

Implications: Further investigation is needed to assess the impact of these changes in health care utilization on long-term health outcomes.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

FIGURE 1
FIGURE 1
The impact of the COVID pandemic on condition-specific tests during the spring and summer of 2020.
FIGURE 2
FIGURE 2
The impact of the COVID pandemic on non–COVID-related health service utilization during the spring and summer of 2020.
See this image and copyright information in PMC

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