264480 Insurance Coverage Among Personal Care Aides at Residential Care Facilities

Monday, October 29, 2012 : 4:42 PM - 4:54 PM

Bernard Lau, MPH , Department of Health Services, University of Washington, Seattle, WA
Background: As the American population ages, the demand for residential care facilities (RCFs), also known as assisted living facilities, is expected to grow. In this growing sector, demand for personal care aides (PCA) is predicted to increase almost 50% in the next decade. This expected growth in demand will provide new opportunities for employment for many low-skilled and semi-skilled workers; however concerns about ethical labor practices are emerging. Employment is an important source of health insurance coverage for many Americans, yet many lower-wage earners are not offered coverage or are unable to afford the premiums. As PCA develop as an occupation, the patterns of insurance coverage may be representative of coverage in other comparable fields.

Methods: Our study aims to identify key characteristics of RCFs associated with offering health insurance coverage to its PCAs. Preliminary exploratory analyses were conducted using the 2010 National Survey of Residential Care Facilities. The dependent variable was whether PCAs are offered employer-sponsored health insurance coverage. Several potential predictors were hypothesized based labor economic and organizational theory. Logistic regressions were performed on the data.

Results: About 60% of surveyed RCFs provided some form of health insurance coverage to its PCAs; however, insurance offering varied among RCFs. Not-for-profit RCFs were more likely to provide insurance than For-profit RCFs (OR=4.72). Larger RCFs (more than 25 beds) were more likely to provide insurance than smaller RCFs (<25 beds) (OR=6.08). Facilities with relatively high proportion of people of color as residents are also less likely to provide insurance (OR=0.31).

Learning Areas:
Administration, management, leadership
Occupational health and safety
Other professions or practice related to public health

Learning Objectives:
1. Identify characteristics of residential care facilities associated the offering of employer-based insurance coverage.

Keywords: Employer-Provided Health Insurance, Workforce

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a doctoral student in health services research, with a concentration in health economics. I have conducted several independent analyses leveraging nationally-representative datasets to develop an understanding of issues pertinent to the healthcare workforce.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.