Mina Addo and Lisa Servon
Income volatility has been rising since the 1970s and reflects a decline in economic security among middle- and low-income households. Half of all American adults are affected by chronic illness, and 40 percent of adults who have health insurance have difficulty paying for medical care (Claxton et al., 2017). Considering these trends together, this study explored characteristics of households that experience income volatility and medical expenses, how they pay for health care, the extent to which technology (including fintech) can be a solution to their challenges, and factors influencing their health care decision-making.
https://www.brookings.edu/research/income-volatility-and-healthcare-decision-making/