— including California — and Washington, D.C., require plans sold on their health insurance marketplaces to collect demographic data from patients, although not providers, and patients are generally asked only about their race and ethnicity, not their sexual orientation or gender identity.
Colorado had considered including providers’ demographic data in directories so patients could use it to choose their doctors. But after physician groups raised privacy concerns, the state opted to make reporting of the demographic data by providers voluntary and confidential. That means insurers must ask, but the providers can decline to answer. And the data collected will be reported to the state only in aggregate.
Plans must increase the number of community health centers — which treat more patients from underserved communities than other clinics — in their networks, as well as certified nurse-midwives, to help reduce maternal mortality. “Even though we’re a purple state, there’s still a lot of bias here and there,” he said. “There could be some real problems that come out of this, so I am hoping they will be very, very sensitive to what they’re doing.”LGBTQ+ patients often deal with stigma in health settings, which can result in negative experiences that range from feeling uncomfortable to being outright mistreated.
“The best doctor to go to is someone who’s done the work to understand what it means to be a safe, affirmative practice,” said, director of the Sexual Orientation, Gender Identity and Health Research Group at the University of Maryland.
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