Inability to Access Needed Medical Care Among Asian American, Native Hawaiian, and Pacific Islander Medicaid Enrollees

J Ambul Care Manage. 2024 Apr-Jun;47(2):96-103. doi: 10.1097/JAC.0000000000000489. Epub 2024 Jan 19.


We examined self-reported inability to access to needed medical care and reasons for not accessing medical care among US-representative adult Medicaid enrollees, disaggregated across 10 Asian American, Native Hawaiian, and Pacific Islander ethnic groups. Chinese (-4.54 percentage points [PP], P < .001), Other Asian (-4.42 PP, P < .001), and Native Hawaiian (-4.36 PP, P < .001) enrollees were significantly less likely to report being unable to access needed medical care compared with non-Hispanic White enrollees. The most common reason reported was that a health plan would not approve, cover, or pay for care. Mitigating inequities may require different interventions specific to certain ethnic groups.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Asian American Native Hawaiian and Pacific Islander* / statistics & numerical data
  • Health Services Accessibility* / statistics & numerical data
  • Humans
  • Medicaid* / statistics & numerical data
  • United States
  • White / statistics & numerical data