Literature DB >> 9518985

Can Medicaid managed care provide continuity of care to new Medicaid enrollees? An analysis of tenure on Medicaid.

O Carrasquillo1, D U Himmelstein, S Woolhandler, D H Bor.   

Abstract

OBJECTIVES: The purpose of this study was to analyze duration of coverage among new Medicaid enrollees.
METHODS: The 1991 Survey of Income and Program Participation was used to examined the duration of coverage for individuals who did not have Medicaid in January 1991 and obtained coverage by May 1993.
RESULTS: Of new Medicaid enrollees, 38% (90% confidence interval [CI] = 34%, 42%) remained covered 1 year later; 26% (90% CI = 21%, 31%) remained covered at 28 months. Of those older than 65 years, 54% (90% CI = 31%, 77%) retained Medicaid for 28 months, vs 20% (90% CI = 14%, 26%) of children. Of people who lost Medicaid, 54% (90% CI = 31%, 77%) had no insurance the following month.
CONCLUSIONS: Almost two thirds of new Medicaid recipients lose coverage within 12 months. It is unlikely that Medicaid managed care will enhance continuity of care for new recipients.

Entities:  

Mesh:

Year:  1998        PMID: 9518985      PMCID: PMC1508332          DOI: 10.2105/ajph.88.3.464

Source DB:  PubMed          Journal:  Am J Public Health        ISSN: 0090-0036            Impact factor:   9.308


  5 in total

1.  Spells without health insurance: distributions of durations and their link to point-in-time estimates of the uninsured.

Authors:  K Swartz; T D McBride
Journal:  Inquiry       Date:  1990       Impact factor: 1.730

2.  The dynamics of Medicaid enrollment.

Authors:  P F Short; J C Cantor; A C Monheit
Journal:  Inquiry       Date:  1988       Impact factor: 1.730

3.  Medicaid and managed care.

Authors:  J K Iglehart
Journal:  N Engl J Med       Date:  1995-06-22       Impact factor: 91.245

4.  Choice matters: enrollees' views of their health plans.

Authors:  K Davis; K S Collins; C Schoen; C Morris
Journal:  Health Aff (Millwood)       Date:  1995       Impact factor: 6.301

5.  Improving access to the underserved through Medicaid managed care.

Authors:  B Goldman
Journal:  J Health Care Poor Underserved       Date:  1993
  5 in total
  14 in total

1.  Medicaid patients in a private health maintenance organization: patterns of chemical dependency treatment.

Authors:  Lawrence J Walter; Sujaya Parthasarathy; Steven Allen; Lynn Ackerson
Journal:  J Behav Health Serv Res       Date:  2002-02       Impact factor: 1.505

2.  Urban homelessness and poverty during economic prosperity and welfare reform: changes in self-reported comorbidities, insurance, and sources for usual care, 1995-1997.

Authors:  Thomas P O'Toole; Jeanette L Gibbon; Deborah Seltzer; Barbara H Hanusa; Michael J Fine
Journal:  J Urban Health       Date:  2002-06       Impact factor: 3.671

Review 3.  Reducing disparities through culturally competent health care: an analysis of the business case.

Authors:  Cindy Brach; Irene Fraser
Journal:  Qual Manag Health Care       Date:  2002       Impact factor: 0.926

4.  Modeling the potential impact of a prescription drug copayment increase on the adult asthmatic medicaid population.

Authors:  Seung Jin Bae; A David Paltiel; Anne L Fuhlbrigge; Scott T Weiss; Karen M Kuntz
Journal:  Value Health       Date:  2008 Jan-Feb       Impact factor: 5.725

5.  Continuity of insurance coverage--a precondition for continuity of primary care.

Authors:  K Grumbach
Journal:  Am J Public Health       Date:  1998-03       Impact factor: 9.308

6.  The impact of referral to a primary physician on cervical cancer screening.

Authors:  J M Gill; S A McClellan
Journal:  Am J Public Health       Date:  2001-03       Impact factor: 9.308

7.  Safety-net institutions buffer the impact of Medicaid managed care: a multi-method assessment in a rural state.

Authors:  Howard Waitzkin; Robert L Williams; John A Bock; Joanne McCloskey; Cathleen Willging; William Wagner
Journal:  Am J Public Health       Date:  2002-04       Impact factor: 9.308

8.  Outcomes for Children with Chronic Conditions Associated with Parent- and Provider-reported Measures of the Medical Home.

Authors:  Jean L Raphael; W Carl Cooley; Amanda Vega; Marc A Kowalkowski; Xuan Tran; Janet Treadwell; Angelo P Giardino; Thomas P Giordano
Journal:  J Health Care Poor Underserved       Date:  2015-05

9.  Substance-abusing urban homeless in the late 1990s: how do they differ from non-substance-abusing homeless persons?

Authors:  Thomas P O'toole; Alicia Conde-Martel; Jeanette L Gibbon; Barbara H Hanusa; Paul J Freyder; Michael J Fine
Journal:  J Urban Health       Date:  2004-12       Impact factor: 3.671

10.  Turning and churning: loss of health insurance among adults in Medicaid.

Authors:  Milda R Saunders; G Caleb Alexander
Journal:  J Gen Intern Med       Date:  2009-01       Impact factor: 5.128

View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.