Jennifer E DeVoe1, Moira Ray, Alan Graham. 1. Department of Family Medicine, Oregon Health and Science University, Portland, 97239, USA. devoej@ohsu.edu
Abstract
OBJECTIVES: We identified characteristics of Oregon children who were eligible for the Oregon Health Plan (OHP), the state's combined Medicaid-Children's Health Insurance Program (CHIP), but were not enrolled in January 2005. We also assessed whether parents' confusion regarding their children's status affected nonenrollment. METHODS: We conducted cross-sectional analyses of linked statewide Food Stamp Program and OHP administrative databases (n = 10 175) and primary data from a statewide survey (n = 2681). RESULTS: More than 20% of parents with children not administratively enrolled in OHP reported that their children were enrolled. Parents of 11.3% of children who were administratively enrolled reported that they were not. Eligible but unenrolled children had higher odds of being older, having higher family incomes, and having employed and uninsured parents. CONCLUSIONS: These findings reveal an important discrepancy between administrative data and parent-reported access to public health insurance. This discrepancy may stem from transient coverage or confusion among parents and may result in underutilization of health insurance for eligible children.
OBJECTIVES: We identified characteristics of Oregon children who were eligible for the Oregon Health Plan (OHP), the state's combined Medicaid-Children's Health Insurance Program (CHIP), but were not enrolled in January 2005. We also assessed whether parents' confusion regarding their children's status affected nonenrollment. METHODS: We conducted cross-sectional analyses of linked statewide Food Stamp Program and OHP administrative databases (n = 10 175) and primary data from a statewide survey (n = 2681). RESULTS: More than 20% of parents with children not administratively enrolled in OHP reported that their children were enrolled. Parents of 11.3% of children who were administratively enrolled reported that they were not. Eligible but unenrolled children had higher odds of being older, having higher family incomes, and having employed and uninsured parents. CONCLUSIONS: These findings reveal an important discrepancy between administrative data and parent-reported access to public health insurance. This discrepancy may stem from transient coverage or confusion among parents and may result in underutilization of health insurance for eligible children.
Authors: Bill J Wright; Matthew J Carlson; Tina Edlund; Jennifer DeVoe; Charles Gallia; Jeanene Smith Journal: Health Aff (Millwood) Date: 2005 Jul-Aug Impact factor: 6.301
Authors: Jennifer E DeVoe; Courtney Crawford; Heather Angier; Jean O'Malley; Charles Gallia; Miguel Marino; Rachel Gold Journal: Matern Child Health J Date: 2015-08
Authors: Jennifer E DeVoe; Miguel Marino; Heather Angier; Jean P O'Malley; Courtney Crawford; Christine Nelson; Carrie J Tillotson; Steffani R Bailey; Charles Gallia; Rachel Gold Journal: JAMA Pediatr Date: 2015-01-05 Impact factor: 16.193